Department of Obstetrics and Gynaecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Department of Obstetrics and Gynaecology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2023 Dec 1;61(268):958-960. doi: 10.31729/jnma.8374.
Spontaneous heterotopic pregnancy is a rare clinical condition which is a potentially dangerous condition where at least two pregnancies are present simultaneously at different implantation sites and only one is located in the intrauterine cavity. It is a life-threatening condition with an incidence estimated as 1 in 30,000 natural conceptions. Being rare it's challenging to diagnose such conditions due to complex clinical and laboratory findings. In view of the survival of maternal as well as intrauterine pregnancy, a high index of suspicion leading to timely diagnosis and appropriate intervention is needed. We are reporting a case of a 28-year-old female with heterotopic pregnancy at 8 weeks of gestation following natural conception diagnosed by ultrasound and managed successfully by laparoscopic salpingectomy. Intrauterine pregnancy was continued normally till term with no complications. Hence, with timely diagnosis and early intervention, maternal and fetal survival is possible.
case reports; ectopic pregnancy; laparoscopy; ultrasound.
自发性异位妊娠是一种罕见的临床情况，是一种潜在危险的情况，至少有两个妊娠同时存在于不同的着床部位，而只有一个位于子宫腔内。这是一种危及生命的情况，发病率估计为每 30000 次自然受孕中就有 1 次。由于复杂的临床和实验室发现，诊断这种情况具有挑战性。鉴于母婴妊娠的存活，需要高度怀疑，以导致及时诊断和适当干预。我们报告了一例 28 岁女性，在自然受孕 8 周后诊断为异位妊娠，通过超声检查发现，并通过腹腔镜输卵管切除术成功治疗。宫内妊娠继续正常至足月，无并发症。因此，及时诊断和早期干预可以实现母婴存活。
病例报告；异位妊娠；腹腔镜检查；超声检查。
