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:: Volume 24, Issue 1 (4-2016) ::
Journal of Ilam University of Medical Sciences 2016, 24(1): 98-103 Back to browse issues page
Heterotopic pregnancy, A case report
Sanam Moradan *1, Mojghan Rahmanian2
1- Semnan University of Medical Sciences , Sm42595@yahoo.com
2- Semnan University of Medical Sciences
Abstract:   (6775 Views)

Introduction: Heterotopic pregnancy occurs when intrauterine and ectopic implantation happens simultaneously. This type of pregnancy is extremely rare and the incidence is about 1 in 100 to 1 in 30000 of pregnancy. However, a heterotopic pregnancy usually occurs after using assisted reproductive technology, their occurrence in natural cycles is extremely rare.

Case report: A 28- year- old woman with prior term pregnancy was referred to the hospital  with complain of acute abdominal pain .She had no history of infertility and was a known case of polycystic  ovarian syndrome. Every day she used  a tablet  of metformin  from 1 month  ago.

Heterotopic pregnancy were diagnosed in 8 week plus 4 days of gestation by using the titrate

Of BHCG and serial sonography and the fetus in the uterine cavity was missed. Laparotomy were Performed and a ruptured ampullary ectopic gestation was present in left tube. Therefore, left tube Salpingectomy and dilation plus curettage were performed.  Heterotopic pregnancy was confirmed by histopathologic evaluation.

Discussion & Conclusions: Heterotopic pregnancy could occur in natural cycle. In regard to metformin as a risk factor of occurrence of heterotopic pregnancy, more studies are needed.

Keywords: Heterotopic pregnancy, Ectopic pregnancy, Natural cycle
Full-Text [PDF 488 kb]   (6224 Downloads)    
Type of Study: case report | Subject: obstetrics and gynecology
Received: 2014/11/28 | Accepted: 2015/09/2 | Published: 2016/05/7
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moradan S, rahmanian M. Heterotopic pregnancy, A case report. J. Ilam Uni. Med. Sci. 2016; 24 (1) :98-103
URL: http://sjimu.medilam.ac.ir/article-1-2333-en.html

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Volume 24, Issue 1 (4-2016) Back to browse issues page
مجله دانشگاه علوم پزشکی ایلام Journal of Ilam University of Medical Sciences
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