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Case Report
Heterotopic pregnancy in a natural conception presenting as an acute abdomen: Management and delivery of a live baby at term
1 Department of Obstetrics and Gyneacology, Federal Teaching Hospital, Abakaliki, Nigeria
2 Department of Obstetrics and Gyneacology, Ebonyi State University, Abakaliki, Nigeria
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Okechukwu Bonaventure Anozie
Department of Obstetrics and Gyneacology, Federal Teaching Hospital, Abakaliki,
Nigeria
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Article ID: 101011Z01OA2019
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How to cite this article
Anozie OB, Esike CU, Eze JN, Mba UE, Nwafor JI, Ukaegbe CI, Mamah JE. Heterotopic pregnancy in a natural conception presenting as an acute abdomen: Management and delivery of a live baby at term. Int J Case Rep Images 2019;10:101011Z01OA2019.ABSTRACT
Introduction: Heterotopic pregnancy is a rare clinical condition where both intrauterine and extra uterine pregnancy coexists. In a spontaneous conception, the diagnosis is difficult to make, but an important one to consider in the presence of acute abdominal pain, hemorrhagic shock, and intrauterine pregnancy.
Case Report: A 28-year-old G4P0+4 with a family history of multiple gestation who presented with acute abdomen and haemorrhagic shock at a gestational age of nine weeks and five days. The diagnosis of ruptured ectopic pregnancy coexisting with viable intrauterine gestation was made with ultrasound findings as well as clinical features necessitating emergency exploratory laparotomy. Ethical approval was obtained from the ethics and research committee of Federal Teaching Hospital Abakaliki. Successful treatment of ectopic pregnancy with uneventful convalescence and viable intrauterine pregnancy delivered at term.
Conclusion: Obstetricians should keep a high index of suspicion of heterotopic pregnancy among women of reproductive age, especially for pregnant women presenting with abdominal pain and hemoperitoneum.
Keywords: Delivery, Heterotopic Pregnancy, Laparotomy, Tubal rupture
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Author Contributions
Okechukwu Bonaventure Anozie - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
C. U. Esike - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
J. N. Eze - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
U. E. Mba - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
J. I. Nwafor - Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
C. I. Ukaegbe - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
J. E. Mamah - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Okechukwu Bonaventure Anozie et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
