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VOLUME 19 , ISSUE 12 ( 2015 ) > List of Articles

CASE REPORT

Hypovolemic shock following induced abortion and spontaneous heterotopic pregnancy

Abdolghader Pakniyat, Arash Yazdanbakhsh, Ghasem Moshar-mowahed, Fatimah Talebi

Keywords : Abortion, heterotopic pregnancy, hypovolemic shock

Citation Information : Pakniyat A, Yazdanbakhsh A, Moshar-mowahed G, Talebi F. Hypovolemic shock following induced abortion and spontaneous heterotopic pregnancy. Indian J Crit Care Med 2015; 19 (12):728-730.

DOI: 10.4103/0972-5229.171407

License: CC BY-ND 3.0

Published Online: 01-12-2015

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extrauterine pregnancies occur at the same time. It is rare, estimated to occur in 1 in 30,000 pregnancies. The case was a 38-year-old woman with spontaneously conceived heterotopic pregnancy. She was admitted to our center with hypovolemic shock. Focused assessment sonography for trauma examination in emergency department showed large amount of free fluid in peritoneal cavity. She was managed surgical laparotomy. Considering spontaneous pregnancies, physician should be aware of the possibility of heterotopic pregnancy in all reproductive age women, especially those with history of recent abortion. It can occur without any predisposing risk factors. Patients should be informed about possible side effects of nonprescription medicines, and also the health care centers must be safe peaceful environment for them without severe legal consequences.

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  1. Talbot K, Simpson R, Price N, Jackson SR. Heterotopic pregnancy. J Obstet Gynaecol 2011;31:7-12.
  2. Tal J, Haddad S, Gordon N, Timor-Tritsch I. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: A literature review from 1971 to 1993. Fertil Steril 1996;66:1-12.
  3. Hassiakos D, Bakas P, Pistofidis G, Creatsas G. Heterotopic pregnancy at 16 weeks of gestation after in-vitro fertilization and embryo transfer. Arch Gynecol Obstet 2002;266:124-5.
  4. Barrenetxea G, Barinaga-Rementeria L, Lopez de Larruzea A, Agirregoikoa JA, Mandiola M, Carbonero K. Heterotopic pregnancy: Two cases and a comparative review. Fertil Steril 2007;87:417.e9-15.
  5. Hirose M, Nomura T, Wakuda K, Ishiguro T, Yoshida Y. Combined intrauterine and ovarian pregnancy: A case report. Asia Oceania J Obstet Gynaecol 1994;20:25-9.
  6. Lyons EA, Levi CS, Sidney M. First Trimester Ultrasound. In: Rumak CM, Wilson SR, Charboneau WK, editors. Dashefsky in Diagnostic Ultrasound. 2 nd ed., Vol. 2. Philadelphia: Mosby; 1998. p. 999.
  7. Glassner MJ, Aron E, Eskin BA. Ovulation induction with clomiphene and the rise in heterotopic pregnancies. A report of two cases. J Reprod Med 1990;35:175-8.
  8. Spiegellberg O. Case report of ovarian pregnancy, Archives of Gynecology and Obstetrics 1878;13:73-9.
  9. Govindarajan MJ, Rajan R. Heterotopic pregnancy in natural conception. J Hum Reprod Sci 2008;1:37-8.
  10. Nguyen-Tran C, Toy EC. Case 3: Obstetrical. Heterotopic pregnancy: Viable twin intrauterine pregnancy with a viable right tubal ectopic pregnancy. J Ultrasound Med 2000;19:355.
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