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Báo cáo y học: " Spontaneous heterotopic pregnancy with tubal rupture: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Spontaneous heterotopic pregnancy with tubal rupture: a case report and review of the literature | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Spontaneous heterotopic pregnancy with tubal rupture a case report and review of the literature Rimpy Tandon Poonam Goel Pradip Kumar Saha and Lajya Devi Address Department of Obstetrics Gynecology and Pathology GovernmentMedical College Hospital Sector32-B Chandigarh-160 030 India Email RT - drrimpy@yahoo.com PG - poonam1302@yahoo.com PKS - pradiplekha@yahoo.co.in LD - lajja.goyal@rediffmail.com Corresponding author Received 19 March 2008 Accepted 22 January 2009 Published 10 June 2009 Journal ofMedical Case Reports 2009 3 8153 doi 10.4076 1752-1947-3-8153 This article is available from http jmedicalcasereports.com jmedicalcasereports article view 8153 2009 Tandon et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.Org licenses by 3.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Heterotopic pregnancy is diagnosed as the presence of two gestations simultaneously. This is a rare situation with a reported prevalence of 0.08 in normal conception. Case presentation We report a case of a 24-year-old primigravida of Indian origin who was seen in the emergency department with a diagnosis of a ruptured ectopic pregnancy. A careful ultrasound assessment led to the diagnosis of a heterotopic pregnancy. Immediate surgical intervention with supportive measures resulted in a successful outcome. Conclusion An obstetrician should keep in mind the occurrence of a heterotopic pregnancy while dealing with pregnant females. The ectopic gestation invariably ruptures over a period of time leaving the patient in an emergency situation. A quick assessment and careful handling of the normal gestation can lead the patient to term with gratifying results. Introduction Heterotopic pregnancy HP is diagnosed in the presence of .