Heterotopic pregnancy in a natural conception cycle presenting as hematometra.

Abstract:

BACKGROUND:Heterotopic pregnancy is a rare event in natural conception cycles. Diagnosis of heterotopic pregnancy requires a high index of suspicion. Described herein is a reported case of a heterotopic pregnancy presenting as hematometra. CASE:A young, multiparous woman, with her last menstrual period 6 weeks before presentation, complained of a dark reddish-brown vaginal discharge and progressive left lower-quadrant discomfort during early pregnancy following a natural conception cycle. An intrauterine mass was observed, and subsequently a heterotopic pregnancy complicated by hematometra was diagnosed with the help of transvaginal ultrasonography and 3-dimensional power Doppler ultrasound angiography. CONCLUSION:Women with intrauterine fluid accumulation during pregnancy may be at risk for coexistent ectopic pregnancy. High resolution transvaginal color Doppler sonography may be useful to identify a heterotopic pregnancy preoperatively.

journal_name

Obstet Gynecol

authors

Cheng PJ,Chueh HY,Qiu JT

doi

10.1097/01.AOG.0000142698.17433.cd

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

1195-8

issue

5 Pt 2

eissn

0029-7844

issn

1873-233X

pii

104/5/1195

journal_volume

104

pub_type

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