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A Rare Case of Ruptured Heterotopic Pregnancy after Natural Conception Demanding Immediate Attention
Dionysios Galatis1, Christos Beneko2, Konstantina Kalaitzi2
1V' Department of Ob/Gyn, Helena Venizelou, General and Maternity Hospital of Athens, Greece. galatismd@gmail.com.
Objective:
We present the case of a ruptured heterotopic pregnancy after natural conception and its management during hospitalization.
Case Report:
The patient presented to the emergency department of our hospital with symptoms of lower abdominal pain and vaginal blood loss. She reported a confirmed intrauterine pregnancy at 8 weeks' gestation following natural conception. The patient was admitted to the hospital with the diagnosis of a ruptured ovarian cyst. Due to hemodynamic instability, an urgent exploratory laparotomy was performed. The histological review showed an ectopic fallopian pregnancy, confirming the final diagnosis of an heterotopic pregnancy.
Conclusion:
Heterotopic pregnancy is a very rare condition, even more so if it happens spontaneously. As a result, it has been insufficiently studied in relation to proper management and timely diagnosis.
