Ectopic Pregnancy Coexisting with Intrauterine Pregnancy

Abstract

A 28-year-old woman, para 2+0, presented with amenorrhoea for 10 weeks, associated with right lower abdominal pain and vaginal bleeding for 3 weeks. She later developed progressive abdominal distension and dizziness. A tender (6cm in diameter) mass was felt in the right iliac fossa, and the uterus was 8 week size. A pelvic ultrasonography showed a singleton intrauterine pregnancy, a right adnexa mass and fluid in the rectouterine pouch. At laparotomy, a ruptured right ampulary gestation sac and 8 week size uterus were found and a right total salpingectomy done. Postoperative course was uneventful and the patient delivered a live, 2.5kg baby at term. Though heterotopic pregnancy is uncommon, assisted conception may increase the incidence and a high index of suspicion is necessary for prompt diagnosis and treatment

(Nig J Surg Res 2000: 2:158-160)



KEY WORDS:

Heterotopic pregnancy, suspicion