A SILENT THREAT OF SPONTANEOUS HETEROTOPIC PREGNANCY IN THE ABSENCE OF RISK FACTORS: A CASE STUDY
DOI:
https://doi.org/10.52340/jecm.2025.05.16Keywords:
Case study, Silent Threat, Spontaneous Heterotopic Pregnancy, Risk FactorsAbstract
Heterotopic pregnancy (HP) is the simultaneous occurrence of intrauterine and extrauterine pregnancies. It is a rare condition, particularly in spontaneous conceptions, but its incidence has increased with assisted reproductive technologies (ART). Early diagnosis is critical to prevent complications such as rupture and hemorrhage. We report the case of a 30-year-old woman who had no history of assisted reproduction or risk factors and who had complained of spotting and stomach pain at 6 weeks of pregnancy. Both a viable intrauterine pregnancy and a right tubal ectopic pregnancy were detected by transvaginal ultrasonography. Fetal heart activity and free fluid suggested rupture. Following an emergency laparoscopic salpingectomy, the patient's intrauterine pregnancy proceeded without any issues, and a healthy term baby was delivered. This case demonstrates the value of urgent surgical interventions to ensure a positive outcome for both the mother and the fetus, as well as the necessity of keeping high index suspicion for heterotopic pregnancy in symptomatic early pregnancies, regardless of risk profile.
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