Missed Diagnosis of a Heterotopic Pregnancy with Tubal Rupture: A Case Report

  • B Sharma

Abstract

We report a combined intra-uterine and ruptured tubal pregnancy following ovulation induction by clomiphene citrate(CC).She was a 35 year old multigravida who presented with a ruptured tubal pregnancy and underwent right salphingectomy. Three months later, she presented with amenorrhea from the time of operation and an intra-uterine pregnancy was confirmed. Previous ultrasound at her initial presentation, did not reveal an intra-uterine pregnancy. The second ultrasound dating indicated that the intra-uterine conception had occurred before the tubal pregnancy was diagnosed. Therefore, a high index of suspicion for heterotopic pregnancy is needed in woman taking ovulation inducing drugs.

 

KeywordsClomiphene citrate; heterotopic pregnancy; ruptured tubal pregnancy
How to Cite
SHARMA, B. Missed Diagnosis of a Heterotopic Pregnancy with Tubal Rupture: A Case Report. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 7, n. 2, p. 40-42, aug. 2015. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/583>. Date accessed: 28 sep. 2020.
Section
Case Reports