Heterotopic pregnancy with natural conception and a full-term fetus

Baranovskaya E.I.

Belarusian State Medical University, Minsk, Republic of Belarus

Fedoseenko A.V.

City Clinical Maternity Hospital Two, Minsk, Republic of Belarus

Krasnitsky A.V.

City Clinical Maternity Hospital Two, Minsk, Republic of Belarus

Heterotopic pregnancy with natural conception and a full-term fetus

Authors:

Baranovskaya E.I., Fedoseenko A.V., Krasnitsky A.V.

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Journal: Russian Bulletin of Obstetrician-Gynecologist. 2018;18(6): 70‑72

DOI: 10.17116/rosakush20181806170

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To cite this article:

Baranovskaya EI, Fedoseenko AV, Krasnitsky AV. Heterotopic pregnancy with natural conception and a full-term fetus. Russian Bulletin of Obstetrician-Gynecologist. 2018;18(6):70‑72. (In Russ.)
https://doi.org/10.17116/rosakush20181806170

Подписка 2025-2 (Russian Bulletin of Obstetrician-Gynecologist)

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Objective — to present a clinical case of heterotopic pregnancy with natural conception and favorable outcome. Material and methods. The clinical case of spontaneous heterotopic pregnancy with simultaneous implantation of one ovum in the uterine cavity and the second one in the ampullary segment of the single fallopian tube is described. The patient’s written consent was obtained for publication. In addition, there is a brief analysis of PubMed publications on cases of spontaneous heterotopic pregnancy over the past 10 years. Results. Heterotopic pregnancy was diagnosed with pelvic ultrasound in the patient with signs of early pregnancy, who had a history of one birth and right-sided salpingectomy for tubal pregnancy. Left-sided salpingectomy was performed and uterine pregnancy was preserved to full term. Conclusion. Ultrasonography is the main method to diagnose heterotopic pregnancy. If the patient’s condition is assessed as stable, treatment is aimed at removing the ectopic product of conception and at preserving uterine pregnancy.

Keywords:

heterotopic pregnancy

laparoscopic salpingectomy

carried uterine pregnancy

Authors:

Baranovskaya E.I.

Belarusian State Medical University, Minsk, Republic of Belarus

Fedoseenko A.V.

City Clinical Maternity Hospital Two, Minsk, Republic of Belarus

Krasnitsky A.V.

City Clinical Maternity Hospital Two, Minsk, Republic of Belarus

List of references:

Chadee A, Rezai S, Kirby C. Spontaneous heterotopic pregnancy: Dual case report and review of literature. Case Reports in Obstetrics and Gynecology. 2016;2016:2145937. https://doi.org/10.1155/2016/2145937
Bhatti KA, Babay ZH, Neyazi SM. Ruptured spontaneous heterotopic pregnancy. Saudi Med J. 2010;31:4:445-447.
Arsala L, Danso D. Spontaneous heterotopic triplet pregnancy with tubal rupture: A Case report and literature review. Journal of Investigative Medicine High Impact Case Reports. 2014;2:2:2324709614531556. https://doi.org/10.1177/2324709614531556
Pramanick A, Peedicayil A, Shah A. Bilateral tubal pregnancy with intrauterine pregnancy in a natural conception cycle along with liver cell failure: case report and review of literature. Journal of Obstetrics and Gynaecology of India. 2014;64:Suppl 1:50-52. https://doi.org/10.1007/s13224-013-0474-3
Abasiattai AM, Utuk MN, Ugege W. Spontaneous heterotopic pregnancy with tubal rupture and delivery of a live baby at term: a case report. Niger J Med. 2010;19:2:236-238.
Esterle J, Schieda J. Hemorrhagic heterotopic pregnancy in a setting of prior tubal ligation and re-anastomosis. Journal of Radiology Case Reports. 2015;9:7:38-46. https://doi.org/10.3941/jrcr.v9i7.2386
Julania S, Tai R. Heterotopic simultaneous splenic and intrauterine pregnancy after spontaneous conception and review of literature. J Obstet Gynaecol Res. 2013;39:1:367-370. https://doi.org/10.1111/j.1447-0756.2012.01920.x
Fetishcheva LE, Ushakova GA. Rare forms of ectopic pregnancy. Problems of diagnosis, treatment and recovery of fertility. Rossiiskii vestnik akushera-ginekologa. 2017;17:4:11-19. (In Russ.) https://doi.org/10.17116/rosakush201717411-19
Shehab Q, Kamali H, Glew S. Ruptured heterotopic tube secondary to a spontaneous heterotopic pregnancy in a parous woman with a previous vaginal delivery and history of rare renal anomaly. J Obstet Gynaecol. 2016;36:4:538-539. https://doi.org/10.3109/01443615.2015.1121980
Kumar R, Dey M. Spontaneous heterotopic pregnancy with tubal rupture and pregnancy progressing to term. Medical Journal, Armed Forces India. 2015;71:Suppl 1:S73-S75. https://doi.org/10.1016/j.mjafi.2013.02.017
Fouedjio JH, Fouelifack FY, Fouogue JT, Sando Z. Ruptured heterotopic pregnancy in a natural conception cycle: a case report at the Yaounde central Hospital (Cameroon). The Pan African Medical Journal. 2013;16:106. https://doi.org/10.11604/pamj.2013.16.106.3506
MJ G, R R. Heterotopic pregnancy in natural conception. Journal of Human Reproductive Sciences. 2008;1:1:37-38.
Lu D, Tang JJ, Zakashansky K, Berkowitz RS, Kalir T, Liu Y. Heterotopic pregnancy including intrauterine normal gestation and tubal complete hydatidiform mole: a case report and review of the literature. Int J Gynecol Pathol. 2017;36:5:428-432. https://doi.org/10.1097/PGP.0000000000000347
Bataille P, Reynard A, Ducarme G. Spontaneous heterotopic triplets — A review of literature. J Gynecol Obstet Hum Reprod. 2017;46: 8:657-659. https://doi.org/10.1016/j.jogoh.2017.05.008
Martin JK, Gala RB. Adnexal mass in a spontaneous pregnancy diagnosed as heterotopic pregnancy at the time of Cesarean delivery. The Ochsner Journal. 2015;15:3:265-267.
Simsek T, Dogan A, Simsek M, Pestereli E. Heterotopic triplet pregnancy (twin tubal) in a natural cycle with tubal rupture: case report and review of the literature. J Obstet Gynaecol Res. 2008;34:4: Pt 2:759-762. https://doi.org/10.1111/j.1447-0756.2008.00921.x

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