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Z Geburtshilfe Neonatol 2020; 224(04): 223-226
DOI: 10.1055/a-1079-6260
Case Report

Spontaneous Heterotopic Pregnancy as an Uncommon Clinical Problem

Zana Stanic
1   Obstetric and Gynecology Clinic, University Hospital Center Split Križine, Split, Croatia
,
Damir Roje
1   Obstetric and Gynecology Clinic, University Hospital Center Split Križine, Split, Croatia
,
Dario Matić
2   Surgery Clinic, University Hospital Center Split Križine, Split, Croatia
,
Zoran Persec
3   Urology Department, University Hospital Dubrava, Zagreb, Croatia
,
Kresimir Dapic
3   Urology Department, University Hospital Dubrava, Zagreb, Croatia
,
Maja Rogić Vidaković
4   Faculty of Medicine, Laboratory for Human and Experimental Neurophysiology (LAHEN), Department of Neuroscience, University of Split, Split, Croatia
,
Rajko Fureš
5   Department of Gynecology and Obstetrics, Zabok General Hospital, Zabok, Croatia
,
Zlatko Hrgovic
6   Gynekology, J. W. Goethe University, Frankfurt
,
Dora Fureš
7   University of Split Faculty of Medicine, Split, Croatia
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Abstract

Background Heterotopic pregnancy refers to the simultaneous coexistence of an intrauterine and extrauterine pregnancy. In natural conception it is very rare, with a rising incidence in patients undergoing assisted reproduction technologies. It presents a serious diagnostic problem which is often misdiagnosed. Currently, there are no standard protocols for the treatment and diagnosis of heterotopic pregnancy.

Methods Two rare cases of spontaneous heterotopic pregnancy are presented.

Result The first patient had a complete abortion upon which an extrauterine pregnancy was detected. The second patient, after an extrauterine pregnancy removal, progressed with an intrauterine pregnancy until full term and it ended with the delivery of a healthy infant.

Conclusion Two demonstrated cases underscore that whenever abnormal adnexal findings are presented and the beta-hCG blood test is positive, the possibility of a heterotopic pregnancy should be suspected.

Key words

heterotopic pregnancy - extrauterine pregnancy - natural conception, adnexal mass


Publication History

Received: 17 November 2019

Accepted: 02 December 2019

Article published online:
06 March 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

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