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HETEROTOPIC PREGNANCY: A CASE REPORT | ||
| IRAQI JOURNAL OF MEDICAL SCIENCES | ||
| Article 1, Volume 5, Issue 2, 2007, Pages 85-86 | ||
| Author | ||
| Liqaa R. AL-Khuzai | ||
| Abstract | ||
| The incidence of heterotopic pregnancy increased in the recent years with wide spread of ovulation induction drugs and assisted reproduction techniques. There is delay in the diagnosis of heterotopic pregnancy and about 50% of patients are admitted for emergency surgery following rupture. Early diagnosis and treatment of heterotopic pregnancy lead to decrease maternal mortality, morbidity, and salvage of intrauterine pregnancy. Clinical History A 29 years old woman gravida 2 Para 0 abortion 1 conceived after ovulation induction using clomiphine citrate; her last menstrual period (LMP) was on the first of October. She was admitted as a case of acute abdominal pain of 2 days duration on 23.12.2004; she was 12 weeks pregnant. The pain was all over the abdomen with radiation to both shoulders. She consulted two hospitals before she came to our hospital, where she received an intravenous fluid and analgesics and discharged home. The pain increased in severity, and her general condition was deteriorating in the last day. She was attending a private doctor who did for her3-ultrasound examinations were normal except for the diagnosis of cervical incompetence for which cervical cerclage have been done. On admission, the patient was severely pale, her rate was100 pulse per minute BP 110/50. There was a generalized abdominal distention In this case report I present a case of heterotopic pregnancy complicated by rupture with review of literature. Key words: Heterotopic pregnancy | ||
| Keywords | ||
| Heterotopic pregnancy | ||
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