International Journal of Infertility & Fetal Medicine

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VOLUME 1 , ISSUE 1 ( September-December, 2010 ) > List of Articles

CASE REPORT

Heterotopic Pregnancy in a Natural Conception

Sumeet N Baheti, K Jayakrishnan

Citation Information : Baheti SN, Jayakrishnan K. Heterotopic Pregnancy in a Natural Conception. Int J Infertil Fetal Med 2010; 1 (1):41-43.

DOI: 10.5005/jp-journals-10016-1007

License: CC BY-NC 4.0

Published Online: 01-12-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Heterotopic pregnancy is rare in natural conception and most often presents as life threatening emergency like acute abdomen and hemorrhagic shock. In early unruptured stages, it presents nonspecifically, mimicking normal or abnormal pregnancy manifestations. A high index of suspicion and a definitive search for it even after confirming normal intrauterine gestation is needed. This little effort ensures a timely diagnosis and management thus preventing catastrophe. We hereby report a primigravida with unruptured heterotopic pregnancy following a natural conception, who presented as nonspecific abdominal pain. Transvaginal ultrasound was inconclusive. Emergency laparoscopy clinched the diagnosis and allowed conservative salpingostomy and continuation of intrauterine pregnancy.


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