3] The present case that we report is of a heterotopic pregnancy
developed during a spontaneous conception without any known risk factors like PID, tuberculosis, infertility, etc.
The incidence of heterotopic pregnancy
has increased over the last 50 years, being 400 times more common when using assisted reproductive techniques compared with spontaneous pregnancies.
following ovulation induction by Clomiphene and a healthy live birth: a case report.
In addition, ovulation-inducing drugs and ovarian stimulation increase the number of eggs available for conception, with a greater risk of multiple gestation and heterotopic pregnancy
Vaginal bleeding occurs rarely in heterotopic pregnancy
, compared to ectopic pregnancy.
Alsunaidi M: an unexpected spontaneous triplet heterotopic pregnancy
, Saudi med J 2005, 26 (1): 136-138.
PATHOGENESIS: In the general population, the major risk factors for heterotopic pregnancy
are the same as those for ectopic pregnancy.
Engdayehu D (1), Bekuretsion Y Heterotopic pregnancy
in a young adult: a case report.
Out of 35 unruptured cases 11 were managed surgically, the reasons being: 5 cases needed sterilization3 cases had high beta HCG titres of > 10000, one was live ectopic, one with large ectopic mass and one case of heterotopic pregnancy
with live IU Pregnancy.
5) Reece et al regard the common presenting signs and symptoms for heterotopic pregnancy
as abdominal pain, adnexal mass, peritoneal irritation, and an enlarged uterus.
DISCUSSION: Heterotopic pregnancy
is otherwise a rare entity in patients with spontaneous conception.