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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; Jaypee Brothers Medical Publishers (P) Ltd.


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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