Stanic Z, Roje D, Matić D, Persec Z, Dapic K, Vidaković MR, Fureš R, Hrgovic Z, Fureš D. Spontaneous Heterotopic Pregnancy as an Uncommon Clinical Problem.
Z Geburtshilfe Neonatol 2020;
224:223-226. [PMID:
32143229 DOI:
10.1055/a-1079-6260]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
BACKGROUND
Heterotopic pregnancy refers to the simultaneous coexistence of an intrauterine and extrauterine pregnancy. In natural conception it is very rare, with a rising incidence in patients undergoing assisted reproduction technologies. It presents a serious diagnostic problem which is often misdiagnosed. Currently, there are no standard protocols for the treatment and diagnosis of heterotopic pregnancy.
METHODS
Two rare cases of spontaneous heterotopic pregnancy are presented.
RESULT
The first patient had a complete abortion upon which an extrauterine pregnancy was detected. The second patient, after an extrauterine pregnancy removal, progressed with an intrauterine pregnancy until full term and it ended with the delivery of a healthy infant.
CONCLUSION
Two demonstrated cases underscore that whenever abnormal adnexal findings are presented and the beta-hCG blood test is positive, the possibility of a heterotopic pregnancy should be suspected.
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