Spontaneous Heterotopic Pregnancy, Simultaneous Ovarian, and Intrauterine: A Case Report

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.

Heterotopic pregnancy with natural conception; a rare event that is still being misdiagnosed: a case report

“…Missed HP also has reported by Kratschla-Apochal et al and Gibson Kyle et al [9,10]. Nevertheless, it was earlier detected in other series [11,12].…”

Spontaneous ovarian heterotopic pregnancy

“…It is notable, however, that HP can occur in patients with a beta hCG as low as 125 mIU/mL 10. Assisted reproductive technology has increased in recent decades and so has HP, thus clinicians should take good reproductive histories with this correlation in mind 11. The case presented here represents an occasion where the clinician must take a careful history and perform a very thorough physical examination.…”

A rare case report: heterotopic pregnancy with ovarian ectopic pregnancy

“…A review study showed that most of extrauterine pregnancies were located in the fallopian tube (72.5%). 9 An ovarian HP is a rare diagnosis with few reported cases. A review literature found only 5 cases of ovarian HP which were spontaneous, while most of them were following clomiphene or ART use.…”