Publication:
Heterotopic pregnancy with spontaneous intrauterine conception: A rare clinical entity with diagnostic dilemma

creativeworkseries.issn1812-2027
dc.contributor.authorRawal, S
dc.contributor.authorKoirala, P
dc.contributor.authorSingh, M
dc.contributor.authorRana, A
dc.date.accessioned2025-07-30T08:23:54Z
dc.date.available2025-07-30T08:23:54Z
dc.date.issued2008
dc.descriptionRawal S1, Koirala P2, Singh M3, Rana A4 1Lecturer, 2Post Graduate Student, 3Associate Professor, 4 Professor, Department of Obstetrics and Gynaecology, Tribhuvan University Teaching Hospital,Kathmandu, Nepal
dc.description.abstractAbstract Twenty-one years old primigravida presented to emergency with amenorrhoea for 2 months and complaints of severe abdominal pain for few hours. The pain was associated with 2 episodes of fainting attacks in emergency during the period of observation. Viable intrauterine pregnancy of 8-9 weeks along with collection of fluid in the Pouch of Douglas was detected by ultrasound examination and on laparotomy ectopic pregnancy was confirmed with haemoperitoneum of 2 litres with 500gms of clots. Histopathology report confirmed the tubal ectopic pregnancy and postlaparotomy, transvaginal sonography confirmed the salvage of the intrauterine pregnancy. Despite massive haemoperitoneum, the pregnancy continued till 40+6 weeks with uneventful antenatal period. She underwent emergency caesarean section for meconium stained liquor with foetal distress and delivered of an alive healthy female of 2.5 kg with good Apgar score. Key words: Ectopic, Heterotopic pregnancy
dc.identifier.urihttps://hdl.handle.net/20.500.14572/991
dc.language.isoen_US
dc.publisherKathmandu University
dc.titleHeterotopic pregnancy with spontaneous intrauterine conception: A rare clinical entity with diagnostic dilemma
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage108
oaire.citation.startPage105
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