Ruptured heterotopic pregnancy: a case report

Authors

  • Abhishek Mishra Resident, Dept. of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
  • Sushila Gaire Resident, Dept. of Gynaecology and Obstetrics, Pokhara Academy of Health Sciences, Pokhara, Kaski, Nepal.
  • Bipana KC Resident, Dept. of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
  • Pradeep Mahat Resident, Dept. of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
  • Jeevan Neupane Resident, Dept. of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
  • Mandip Chaubey Medical Officer, Nepal Bharat Maitri Hospital, Kathmandu, Nepal.

Keywords:

Acute abdomen, ectopic pregnancy, heterotopic pregnancy, laparotomy

Abstract

Heterotopic pregnancy is a rare condition when at least two pregnancies are present simultaneously at different implantation sites and only one is located in the uterine cavity. The majority of cases are diagnosed in the first trimester. Heterotopic gestation is very rare in natural conception. A high index of suspicion is required for timely diagnosis and appropriate intervention. We report a case of heterotopic pregnancy in a 26-year-old woman presented with hemoperitoneum from ruptured tubal pregnancy with live intrauterine gestation at 8 weeks of amenorrhea, diagnosed on ultrasound examination. She underwent exploratory laparotomy with right salpingectomy and post-operative period was uneventful.

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Published

2022-12-31

How to Cite

Mishra, A., Gaire, S., KC, B., Mahat, P., Neupane, J., & Chaubey, M. (2022). Ruptured heterotopic pregnancy: a case report. Journal of General Practice and Emergency Medicine of Nepal, 9(14), 86–89. Retrieved from https://nepjol.info/index.php/jgpemn/article/view/89960

Issue

Vol. 9 No. 14 (2022)

Section

Case Reports/Case Series

License

Copyright (c) 2022 The Author(s)

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