THE JOY OF UNFOUND PREGNANCY- HETEROTROPIC SPONTANEOUS PREGNANCY: A CASE REPORT

CORRESPONDING AUTHOR:
Dr. Anju Vij,
Department of Obstetrics & Gynaecology,
DRPGMC, Tanda,
Kangra District, H. P.
E-mail: doctors_vij@yahoo.com

ABSTRACT: Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extra uterine pregnancies coexist. It can be a life threatening condition and can be easily missed with the diagnosis being overlooked. Heterotopic pregnancy occurs in 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive techniques. A 24 years old female was referred as a case of? Ruptured Ectopic pregnancy at POG four weeks and four days with acute pain abdomen and bleeding per vaginum for 2 days with ultrasound suggestive of ruptured ectopic with normal uterus. Exploratory laparotomy with left salpingectomy was done. She presented 3 months later with history of amenorrhoea since surgery for ectopic pregnancy and was found to have an enlarged uterus of 16 weeks size, corresponding to missed cycle of ectopic pregnancy (By dates) and ultrasound showing live fetus of 16 weeks. Thus practitioners carrying out salpingectomy for ruptured ectopic pregnancies should bear in mind the plausibleness of heterotopic pregnancy in order to properly handle the uterus.

KEYWORDS: Heterotopic pregnancy, spontaneous, ectopic, laparotomy, salpingectomy.