Tripathi Jagruti B, Patel B S, Rawal Smruti A, Garg Shelza
Department of Obstetrics and Gynaecology, Smt NHL Municipal Medical College and Sheth Vadilal Sarabhai General Hospital, Ahmedabad 380006.
J Indian Med Assoc. 2011 Oct;109(10):764-5.
Heterotopic pregnancy involves coexisting intra-uterine and extra-uterine gestations. The incidence for natural uninduced pregnancy is 1 in 30,000 pregnancies. However the incidence is increasing with ovulation induction and artificial reproductive techniques. In more than 90% heterotopic pregnancies, the ectopic implantation is in the fallopian tube. A case of undiagnosed term heterotopic pregnancy in a 26-year-old primigravida is reported. She was referred from a practising obstetrician as a case of term twin pregnancy. Her regular antenatal records suggested intra-uterine growth restriction in one foetus of the twin. After confirmation of findings with ultrasound she was taken for emergency caesarean section. Heterotopic pregnancy was diagnosed on opening the abdomen. The term abdominal pregnancy was managed successfully. Although remained undiagnosed till term, good maternal and perinatal outcome was noted with survival of both the babies.
异位妊娠是指宫内妊娠和宫外妊娠同时存在。自然未诱导妊娠的发生率为每30000次妊娠中有1例。然而，随着促排卵和人工生殖技术的应用，其发生率正在上升。在超过90%的异位妊娠中，异位着床发生在输卵管。本文报道了一例26岁初产妇未被诊断出的足月异位妊娠病例。她被一名执业产科医生转诊，诊断为足月双胎妊娠。她的常规产前检查记录显示双胎中的一个胎儿存在宫内生长受限。经超声检查确认结果后，她接受了急诊剖宫产。打开腹腔后诊断为异位妊娠。该足月腹腔妊娠得到了成功处理。尽管直到足月才被诊断出来，但母婴结局良好，两个婴儿均存活。
