{"title":"A Rare Case of Ruptured Heterotopic Pregnancy after Natural Conception Demanding Immediate Attention.","authors":"Dionysios Galatis, Christos Beneko, Konstantina Kalaitzi, Panagiotis-Konstantinos Karachalios, Ioannis Chatzipanagiotis, Ippokratis Diamantakis, Foteini Anifantaki, Vasileios Batsakoutsas, Nikolaos Kiriakopoulos","doi":"10.5644/ama2006-124.451","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>We present the case of a ruptured heterotopic pregnancy after natural conception and its management during hospitalization.</p><p><strong>Case report: </strong>The patient presented to the emergency department of our hospital with symptoms of lower abdominal pain and vaginal blood loss. She reported a confirmed intrauterine pregnancy at 8 weeks' gestation following natural conception. The patient was admitted to the hospital with the diagnosis of a ruptured ovarian cyst. Due to hemodynamic instability, an urgent exploratory laparotomy was performed. The histological review showed an ectopic fallopian pregnancy, confirming the final diagnosis of an heterotopic pregnancy.</p><p><strong>Conclusion: </strong>Heterotopic pregnancy is a very rare condition, even more so if it happens spontaneously. As a result, it has been insufficiently studied in relation to proper management and timely diagnosis.</p>","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta medica academica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5644/ama2006-124.451","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
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Abstract
Objective: We present the case of a ruptured heterotopic pregnancy after natural conception and its management during hospitalization.
Case report: The patient presented to the emergency department of our hospital with symptoms of lower abdominal pain and vaginal blood loss. She reported a confirmed intrauterine pregnancy at 8 weeks' gestation following natural conception. The patient was admitted to the hospital with the diagnosis of a ruptured ovarian cyst. Due to hemodynamic instability, an urgent exploratory laparotomy was performed. The histological review showed an ectopic fallopian pregnancy, confirming the final diagnosis of an heterotopic pregnancy.
Conclusion: Heterotopic pregnancy is a very rare condition, even more so if it happens spontaneously. As a result, it has been insufficiently studied in relation to proper management and timely diagnosis.
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