Jemmarie Saraus Lomboy
Far Eastern university-Nicanor Reyes Medical Foundation, Philippines
Title: Heterotopic pregnancy in natural conception with preservation of intrauterine pregnancy delivered at term: A case report
Biography
Biography: Jemmarie Saraus Lomboy
Abstract
Heterotopic pregnancy in natural conception with preservation of intrauterine pregnancy delivered at term: A case report
Heterotopic Pregnancy (HP) is a rare event in natural conception cycles. A high index of suspicion would help in timely diagnosis and proper intervention even in the absence of any predisposing risk factors. A case of heterotopic pregnancy in 35 years old Gravida 4 Para 3 (3003) who presented with hypogastric pain and vaginal bleeding with hemoperitoneum from ruptured tubal pregnancy is presented. However, on ultrasound she also has a live intrauterine gestation at seven weeks of amenorrhea diagnosed on ultrasound. She underwent evacuation of hemoperitoneum, exploratory laparotomy, salpingectomy-left. Among low risk patients, presenting with acute abdominal pain, even if the ultrasound findings are consistent with intrauterine gestation sac with or without an adnexal mass but with free fluid noted in the pelvis, heterotopic pregnancy should still be considered. Early diagnosis and treatment of HP will increase the likelihood of a favorable outcome for the intrauterine gestation.