Spontaneous Heterotopic Pregnancy: A Case ReportCaryn Russman1*, Morgan Gruner1, Xuezhi Jiang1,3 and Peter F. Schnatz1-4
- *Corresponding Author:
- Caryn Russman
Department of Obstetrics and Gynecology
The Reading Hospital, Reading, PA
E-mail: [email protected] readinghealth.org
Received date: August 20, 2015; Accepted date: September 11, 2015; Published date: September 18, 2015
Citation: Russman C, MGruner C, Jiang X, Schnatz PF (2015) Spontaneous Heterotopic Pregnancy: A Case Report. Gynecol Obstet (Sunnyvale) 5:318.doi:10.4172/2161-0932.1000318
Copyright: © 2015 Russman C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Heterotopic pregnancy is the coexistence of intrauterine pregnancy (IUP) and extrauterine gestation. It is a rare and dangerous life-threatening situation that is difficult to diagnose and easily missed. The incidence in the general population is estimated to be 1 in 30,000. Risk factors for ectopic pregnancy are pelvic inflammatory disease (PID), tubo-ovarian abscess (TOA), previous ectopic pregnancies, or previous surgery.
Case: A 22 year old gravida 2 para 1-0-0-1 presented to the emergency department (ED) and was diagnosed with heterotopic pregnancy despite lack of any notable risk factors. Transvaginal ultrasound showed live IUP and right ovarian/adnexal ectopic pregnancy with heartbeat, along with moderate hemoperitoneum. She underwent operative laparoscopy and right salpingectomy, being discharged home on post-operative day 1 with a stable hemoglobin concentration. She delivered the IUP at 38 weeks 5 days gestation via spontaneous vaginal delivery.
Discussion: This case represents a spontaneous heterotopic pregnancy in a 22-year-old patient with no previous risk factors identified and demonstrates laparoscopy as a successful treatment modality for heterotopic pregnancy.