Ayyash Mariam, Shaman Majid, Craig Brian, Khangura Raminder
Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, United States of America.
Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, United States of America.
Case Rep Womens Health. 2022 Apr 23;34:e00414. doi: 10.1016/j.crwh.2022.e00414. eCollection 2022 Apr.
Heterotopic pregnancy is the simultaneous occurrence of two pregnancies at two different implantation sites, mostly intrauterine and extrauterine sites. An interstitial ectopic pregnancy as part of a heterotopic pregnancy is very rare. This report highlights the case of a 40-year-old woman with heterotopic pregnancy who had conceived via assisted reproductive technology. The patient had an interstitial ectopic pregnancy and a viable intrauterine pregnancy. She was treated expectantly and had cesarean delivery of the intrauterine pregnancy at 38 weeks of gestation. Although management options for heterotopic pregnancies include surgical and medical, it may be reasonable to consider expectant management for select cases while weighing risks. In such cases, close monitoring of symptoms and serial ultrasound examinations should be standard.
异位妊娠是指在两个不同的着床部位同时发生两个妊娠，多数情况下是在子宫内和子宫外部位。间质部异位妊娠作为异位妊娠的一部分非常罕见。本报告重点介绍了一名40岁通过辅助生殖技术受孕的异位妊娠女性病例。该患者存在间质部异位妊娠和一个存活的宫内妊娠。她接受了期待治疗，并在妊娠38周时剖宫产分娩了宫内妊娠。虽然异位妊娠的治疗选择包括手术和药物治疗，但在权衡风险时，对于某些病例考虑期待治疗可能是合理的。在这种情况下，密切监测症状和进行系列超声检查应成为标准做法。
