Volume 12, Issue 4 (Paramedical Sciences and Military Health (winter 2018) 2018)                   Paramedical Sciences and Military Health 2018, 12(4): 70-74 | Back to browse issues page

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samii N, sadeghi M, naebiastane M. Report a rare case of heterotopic pregnancy. Paramedical Sciences and Military Health. 2018; 12 (4) :70-74
URL: http://jps.ajaums.ac.ir/article-1-136-en.html
1- MSc Student Research Committee, School of Paramedical, Iran University of Medical Sciences, Tehran, Iran Department of Surgical Technology, Faculty of Para medicine, Iran University of Medical Sciences, Tehran, Iran , Najme_63@yahoo.com
2- MSc surgical technologist, Center for organ transplantation and dialysis of Montaserieh, Mashhad University of Medical Sciences, Mashhad, Iran. Center of Organ Transplantation and Dialysis of Montaserieh, Mashhad University of Medical Sciences, Mashhad, Iran.
3- Obstetrician-Gynecologist, Mehr (Hazrate Abbas) Hospital, Mashhad, Iran Department of Obstetrics, Maternity and Infertility, Mehr (Hazrate Abbas) Hospital, Mashhad, Iran
Abstract:   (232 Views)
Introduction: Heterotopic pregnancy is defined as a spontaneous intrauterine and ectopic pregnancy. The incidence of this type of pregnancy is estimated at 1 in 30,000 in the general population. This Pregnancy is commonly seen in the use of vitro fertilization and ovarian induction. It is a life-threatening disease. It may be ignored in diagnostic procedures; therefore, this can change into a diagnostic and therapeutic problem for physicians. In this study, we report a case of heterotopic pregnancy in a 37-year-old woman who was undergone laparotomy and
curettage.
Description: A 37-year-old woman presented with a history of two times cesarean section surgery and an ectopic pregnancy that has been self-absorbed in the last 6 months. The patient has been referred to physician because of the delay in menstruation since 3 last weeks. Considering the ultrasonography that has been done for the patient, a picture of gestational sac with a normal shape and position, normal and uniformly decidual reaction containing yolk sac without embryo in the uterine cavity with free fluid in the pelvic cavity indicated the heterotopic pregnancy. The gestational age was estimated based on MSD of 5w+5d. The patient has been undergone laparotomy surgery. The ovary and right fallopian have been removed and
curettage has been done.
Conclusion: Heterotopic pregnancy can occur in normal cycles and in the absence of any predisposing risk factors. Therefore, pregnant women should consider the possibility of heterotopic pregnancy as the diagnosis of intrauterine pregnancy cannot rule out the possibility
of concomitant ectopic pregnancy.
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Type of Study: case report | Subject: full articles
Received: 2018/03/6 | Accepted: 2018/04/9 | Published: 2018/05/7

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