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Case Studies | Gynaecology | India | Volume 14 Issue 1, January 2025 | Popularity: 4.9 / 10

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Heterotopic Pregnancy with Ruptured Left Tubal Ectopic Pregnancy: A Case Study

W. Japhia Shalin

Abstract: Heterotopic pregnancy (HP), a rare occurrence where both intrauterine and ectopic pregnancies coexist, presents significant challenges in diagnosis and management. This condition is particularly complicated when the ectopic pregnancy ruptures, leading to life - threatening haemorrhage. We present a case of a 32 - year - old woman with a history of two previous cesarean sections, who presented at 8 weeks of gestation with acute abdominal pain, dizziness, and vaginal spotting. Ultrasound revealed an intrauterine pregnancy along with a ruptured left tubal ectopic pregnancy. The patient was hemodynamically unstable, requiring immediate surgical intervention. A laparoscopy was performed, resulting in a left salpingectomy and stabilisation of the patient. The intrauterine pregnancy was preserved and closely monitored. The patient had a successful pregnancy outcome, delivering a healthy baby via cesarean section at term. This case highlights the importance of early detection, prompt surgical intervention, and the potential for a favourable outcome for intrauterine pregnancy, even in the presence of a ruptured tubal ectopic pregnancy in a heterotopic pregnancy scenario.

Keywords: Heterotopic pregnancy, Left tubal ectopic pregnancy, Salpingectomy, infection, Endometriosis, Hemorrhage, Surgical intervention

Edition: Volume 14 Issue 1, January 2025

Pages: 312 - 314

DOI: https://www.doi.org/10.21275/SR25107071200

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