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

Authors

  • B Sharma Department of Obs/Gyne, KIST Medical College Hospital, Lalitpur

Keywords:

Clomiphene citrate, heterotopic pregnancy, ruptured tubal pregnancy

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.

DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11142  

Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 40-42

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Published

2014-09-21

How to Cite

Sharma, B. (2014). Missed Diagnosis of a Heterotopic Pregnancy with Tubal Rupture: A Case Report. Nepal Journal of Obstetrics and Gynaecology, 7(2), 40–42. Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/11142

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Section

Case Reports