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Spontaneous Heterotopic Pregnancy Presenting with Thbal Abortion

APICHART CHITTACHAROEN, M.D.*, JITTIMA MANON AI, M.D.*

Affiliation : * Department of Obstetrics and Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok l 0400, Thailand.

Abstract
Heterotopic pregnancies are rarely spontaneous. We present the case of a woman who presented with acute abdominal pain. Emergency laparotomy was performed. Intraoperative finding showed right tubal pregnancy and right salpingectomy was performed. Six weeks post-operation, the patienfs symptoms and signs of pregnancy persisted and ultrasound showed an intrauterine single viable fetus. The pregnancy was continued to term and a healthy female baby was delivered.

Keywords : Heterotopic Pregnancy, Tubal Pregnancy


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