Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi |
2010, Cilt 24, Sayı 3, Sayfa(lar) 201-204 |
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Heterotopic Pregnancy in Natural Cycle with Intrauterine Device: A Case Report with Short Literature Review |
Zehra Sema ÖZKAN, Mehmet ŞİMŞEK, Hasan ÇILGIN |
Fırat Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Elazığ, TÜRKİYE |
Keywords: Heterotopic pregnancy, intrauterine device, ectopic pregnancy, laparotomy |
Heterotopic pregnancy (HP) is defined as the simultaneous occurrence of intrauterine and
extrauterine pregnancy. It is considered as a rare entity prior to the advancement of assisted
reproductive technology (ART). This paper reports a case of 35 year-old female patient who
presented HP in a natural cycle with intrauterine device. A diagnosis of acute abdomen with
intrauterine pregnancy was made on ground of preoperative evaluation and laparotomy was
performed. Salpingostomy and hematoma drainage were performed. HP diagnosis is still
troublesome despite the improved techniques. In view of the increasing incidence of HP due to
tubal damage and the use of ART, a high index of clinical suspicion is required to detect and
manage this clinical presentation. Ultrasound performed by experienced radiologist is important in
making an early diagnosis of HP. The treatment option of HP should aim to terminate the extrauterine
gestation with minimal distress to the intrauterine pregnancy. Choice of treatment for HP
depends on the clinician's surgical experiment as well as the patient's hemodynamic condition.
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