Acute Presentation of Spontaneous Heterotopic Pregnancy Presenting with Tubal Rupture

Authors

  • Ratan Das RMO-cum-Clinical Tutor, Department of Obstetrics and Gynaecology, Malda Medical College and Hospital, Malda, West Bengal,
  • Soumya Biswas RMO-cum-Clinical Tutor, Department of Anaesthesiology, Malda Medical College and Hospital, Malda, West Bengal
  • Utpal Kumar Roy Assistant Professor, Department of Anaesthesiology, Murshidabad Medical College and Hospital, West Bengal

DOI:

https://doi.org/10.7439/ijbr.v5i4.407

Abstract

Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extra uterine pregnancies occur at the same time. It can be a life threatening condition and can be easily missed with the diagnosis being overlooked. We are presenting the case of a 24 year old Para 2+1 young female who presented with pain abdomen and vomiting after an induced abortion. Ultrasonography revealed intrauterine embryo of 7- 8 weeks without cardiac activity suggesting missed abortion and, with right adenexal mass about (7 x 6) cm adhered to the uterus with free fluid in pouch of Douglas. The patient presented acutely with a ruptured tubal pregnancy and this was managed by laparotomy. The ectopic pregnancy was not suspected at her initial presentation. A high index of suspicion is needed in women with risk factors for an ectopic pregnancy and in low risk women who have free fluid with or without an adnexal mass with an intrauterine gestation.

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Author Biography

  • Ratan Das, RMO-cum-Clinical Tutor, Department of Obstetrics and Gynaecology, Malda Medical College and Hospital, Malda, West Bengal,
    Dr. Ratan DasRMO cum Clinical TutorDepartment of Obstetrics and GynaecologyMalda Medical College and HospitalMalda, West Bengal, India

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Published

2014-04-30

Issue

Vol. 5 No. 4 (2014): Apr

Section

Case Report

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How to Cite

1.
Acute Presentation of Spontaneous Heterotopic Pregnancy Presenting with Tubal Rupture. Int Jour of Biomed Res [Internet]. 2014 Apr. 30 [cited 2024 Oct. 18];5(4):292-3. Available from: https://ssjournals.co.in/index.php/ijbr/article/view/999

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