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. 2012:2012:509694.
doi: 10.1155/2012/509694. Epub 2012 Sep 10.

Spontaneous heterotopic pregnancy, simultaneous ovarian, and intrauterine: a case report

Francesca Basile  1 , Cristina Di Cesare, Lorena Quagliozzi, Laura Donati, Marina Bracaglia, Alessandro Caruso, Giancarlo Paradisi
Affiliations

Spontaneous heterotopic pregnancy, simultaneous ovarian, and intrauterine: a case report

Francesca Basile et al. Case Rep Obstet Gynecol. 2012.

Abstract

Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extrauterine pregnancies occur at the same time. The occurrence of an ovarian heterotopic pregnancy is a singular event as it comprises only 2.3% of all heterotopic pregnancies, extremely rare among women who conceive naturally. A case of a 28-year old patient was treated for spontaneously conceived heterotopic pregnancy. The patient was admitted to our center with lower abdominal pain and amenorrhoea. A transvaginal ultrasound scan showed an ovarian and an intrauterine heterotopic pregnancy. This was managed laparoscopically. Considering spontaneous pregnancies, every physician treating women of reproductive age should be aware of the possibility of heterotopic pregnancy. It can occur in the absence of any predisposing risk factors; only with an early diagnosis and treatment the intrauterine pregnancies will reach viability with a great chance of a favorable obstetric outcome.

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Figures

Figure 1
Figure 1
Transvaginal ultrasound of uterus showing a gestational sac of approximately 7 weeks.
Figure 2
Figure 2
Transvaginal ultrasound of uterus showing left ovaric mass containing ovular material.
See this image and copyright information in PMC

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