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Review
. 2020 Jul 22;56(8):365.
doi: 10.3390/medicina56080365.

Spontaneous Heterotopic Pregnancy: Case Report and Literature Review

Miglė Černiauskaitė  1 , Brigita Vaigauskaitė  2 , Diana Ramašauskaitė  2 , Mindaugas Šilkūnas  2
Affiliations
Review

Spontaneous Heterotopic Pregnancy: Case Report and Literature Review

Miglė Černiauskaitė et al. Medicina (Kaunas). .

Abstract

Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present a case of a 28-year-old primigravida female who conceived spontaneously and at her seventh week of gestation and was presented to the emergency department with weakness and acute pain in lower abdomen. Laboratory tests and transvaginal ultrasonography revealed the diagnosis of heterotopic pregnancy. Urgent laparoscopic salpingotomy was chosen as a treatment option. The ectopic pregnancy was successfully removed with the preservation of the intrauterine embryo and fallopian tubes. The course of pregnancy after the surgery was without complications, and a healthy baby was delivered at the 39th week of gestation. When treated properly and on time, a heterotopic pregnancy can result in live childbirth with favorable outcomes for both the child and the mother.

Keywords: ectopic pregnancy; heterotopic pregnancy; laparoscopic salpingotomy; spontaneous pregnancy.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
Transvaginal ultrasonography image of the uterus (transverse view) showing an intrauterine gestation (left) coexisting with an ectopic tubal pregnancy (right) with a sac containing an embryo with a crown rump length of 13.7 mm.
Figure 2
Figure 2
Transvaginal ultrasonography image showing free intraperitoneal fluid in pelvis.
Figure 3
Figure 3
Laparoscopic findings of the ectopic pregnancy in the ampulla of the right fallopian tube with hemoperitoneum.
See this image and copyright information in PMC

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