is diagnosed by the presence of multiple pregnancies with one or more intrauterine pregnancies coexisting with an ectopic pregnancy.
With a diagnosis of heterotopic pregnancy
(Figure 3), laparotomy was carried out, finding ruptured ampullar right ectopic pregnancy, gravid uterus augmented in size for eight weeks, right salpingectomy was performed without complications; ultrasound monitoring indicated proper fetal growth.
Avery responds: Diagnosis of heterotopic pregnancy
without the benefit of technology is a real achievement
is two simultaneous pregnancies in which one occurs in the uterus and the other occurs in an ectopic location .
* Out of remaining 4 patients, 2 patients got decline in serum B-HCG level on day 7 and 2 patients with heterotopic pregnancy
got posted for suction and evacuation.
A careful assessment of the adnexa and pelvis should be performed to exclude any possibility of heterotopic pregnancy
, especially if the patient is undergoing ovulation induction/ infertility treatment.
This case illustrates challenges inherent in the diagnosis of heterotopic pregnancy
, which is much more common today than it was when it was first described 300 years ago.
She had been pregnant with two babies, one inside the womb and one outside, in what is known as a heterotopic pregnancy
, according to the Star-Ledger.
It is known as a heterotopic pregnancy
and apparently it is extremely rare.
(50) Ultrasonography is often of greater value in excluding the diagnosis of an ectopic pregnancy by its demonstration of an intrauterine gestation (Figure 2) since these conditions rarely coexist; estimates of the incidence of heterotopic pregnancy
range from 1 in 4000 to 1 in 30,000 pregnancies.
The incidence of heterotopic pregnancy
is also increased to the rate of 1 in 8000 after ART.