HETEROTOPIC PREGNANCY- A REPORT OF 2 CASES IN WOMEN WITHOUT RISK FACTORS

Authors

  • Afzal Safdar Bukhari
  • Shazia Bukhari

Abstract

Two cases of heterotopic pregnancy are reported. The cases emphasize that co incident pregnancies may occur inwomen who are without risk of ectopic pregnancy or multiple gestation. The cases describe the complexities ofdiagnosis and management.

References

Richards SR, Stempel LE, Carlton BD. Heterotopic

pregnancy: reappraisal of incidence. Am J Obstet Gynecol

; 142:928-30.

Novak E. Combined intrauterine and extrauterine pregnancy:

with a report of 276 cases including 2 cases observed by the

author. Surg Gynecol Obstet 1926; 43: 26-31.

Brody S, Stevens Ft. Combined intra and extra uterine

pregnancy Obstet Gynecol 1962; 21:129-32.

Honore LH, Nickerson KG. Combined intrauterine and

ectopic tubal pregnancy. A possible case of superfetation. Am

J Obstet Gynecol 1977; 127: 835-7

Shah Y, Zevallos H. Moody L. Combined intrauterine and

extrauterine pregnancy. A diagnostic challenge. J Reprod

; 290-2

Reece E, Petrie R, Simians M et al; Combined intrauterine and

extrauterine gestation. A review. Am J Obstet Gynecol 1983;

:323-29.7. Mishelle D- Ectopic pregnancy. In Drogue Muller W, Herbert

A Mishelle D et al (eds) Comprehensive Gynecology. St.

Loius MO. Mosby, 1987.

Hann C, Bachman D, Me Ardle C. Co existent intrauterine and

ectopic pregnancy. A re-evaluation. Radiology 1984; 152:

-154.

Pardania N, Smalkin M: Combined intrauterine and

extrauterine pregnancy diagnosed by ultrasound. N Engl J

Med 1979: 301. 841 (letter)

Berger M, Taymor M: Simultaneous intrauterine and tubal

pregnancies following ovulation induction. Am J Obstet

Gynecol 1972; 113: 812-13.

Devoe R, Pratt J: Simultaneous intrauterine and extrauterine

pregnancy. Am J Obstet Gyne I948;56:

-1126

Westrom I, Bengtsson L, Mardh P: Incidence, trends and risk

of ectopic pregnancy in a population of women. Br Med J

; 282: 15-18

Westrom L: Incidence, prevalence, and trends of acute pelvic

inflammatory disease and its consequences in industrialized

countries. Am J Obstet Gynecol 1980; 138: 880-892

Lund P, Sielaff G. Alman E: In vitro fertilization patient

presenting in hemorrhagic shock caused by unsuspected

heterotopic pregnancy. Am J Emerg Med 1989; 7 :49-53

Romers R, Kadar N, Castro D, et al. The value of adnexal

sonographic findings in the diagnosis of ectopic pregnancy.

Am J Obstet Gynecol 1988; 158: 52-55

Abbott J, Emman S, Lowenstein S: Ectopic pregnancy: Ten

common pitfalls in diagnosis. Am J Emerg Med 1990; 8:515-

Destafano F, Peterson H, Layde P, et al: Risk of ectopic

pregnancy following tubal sterilization. Obstet Gynecol

:60: 326-330.

W Ombelet, J.V Van Der Merwe. Combined intrauterine and

extrauterine pregnancies SAMJ Volume 70, 1986,559-560