Heterotopic Pregnancy: A Challenge in Early Diagnosis

  • Roman Karkee Nyaya Health Nepal, Charikot, Dolakha, Nepal
  • Amit Sharma Nyaya Health Nepal, Charikot, Dolakha, Nepal
  • Binod Dangal Nyaya Health Nepal, Charikot, Dolakha, Nepal

Abstract

Heterotopic pregnancy is the simultaneous existence of intrauterine and extrauterine gestation. It is usually seen in women at risk for ectopic pregnancy or those undergoing fertility treatments. The incidence has dramatically risen to 1 in 3900 of pregnancies via assisted reproductive techniques or ovulation induction, compared to 1 in 30000 of spontaneous conception. Besides this, history of pelvic inflammatory disease (PID), tubal damage, pelvic surgery and prior tubal surgery can increase its risk. Here we present a case of heterotopic pregnancy which was diagnosedafter ectopic gestation ruptured along with compromised intrauterine gestation and maternal condition. Earlier diagnosis before this life-threatening event could have saved the intrauterine fetus.
Keywords: Extrauterine pregnancy; heterotopic pregnancy; ruptured ectopic.

Published
2019-11-14
How to Cite
KARKEE, Roman; SHARMA, Amit; DANGAL, Binod. Heterotopic Pregnancy: A Challenge in Early Diagnosis. Journal of Nepal Health Research Council, [S.l.], v. 17, n. 3, p. 413-415, nov. 2019. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/1983>. Date accessed: 08 dec. 2019. doi: https://doi.org/10.33314/jnhrc.v17i3.1983.