Tsegaye Mesfin Ayalew, Teloye Meles Tazeb
Dilla University, College of Medicine and Health Sciences, Department of Obstetrics and Gynecology, Dilla, Ethiopia.
Case Rep Womens Health. 2025 Jul 4;47:e00729. doi: 10.1016/j.crwh.2025.e00729. eCollection 2025 Oct.
Heterotopic pregnancy is a rare condition characterized by the simultaneous presence of both an intrauterine and an ectopic pregnancy. Most cases are identified during the first trimester. This report describes the case of a woman in labor who presented with right lower quadrant abdominal tenderness. During a cesarean section performed for an obstetric indication, a tubal ectopic pregnancy with active ostial bleeding and 600 ml of hemoperitoneum was discovered. A salpingectomy was performed, and histopathology confirmed the diagnosis of tubal ectopic pregnancy. The patient was discharged on the third day of admission with stable vital signs. This is seemingly the first ever reported case of a tubal heterotopic ectopic pregnancy presenting intrapartum.
异位妊娠是一种罕见的情况，其特征是子宫内妊娠和异位妊娠同时存在。大多数病例在孕早期被发现。本报告描述了一名临产妇女的病例，她表现为右下腹压痛。在因产科指征进行剖宫产时，发现了输卵管异位妊娠伴输卵管开口处活动性出血和600毫升腹腔积血。进行了输卵管切除术，组织病理学证实了输卵管异位妊娠的诊断。患者入院第三天生命体征平稳出院。这似乎是有史以来第一例报道的分娩期输卵管异位妊娠病例。
