Keywords
Ovarian ectopic pregnancy
Retained products of conception
Spontaneous conception
Categories
How to Cite
Abstract
Heterotopic pregnancy, defined as the coexistence of intrauterine and extrauterine gestations, is a rare but potentially life-threatening condition in spontaneous conceptions. Ovarian ectopic pregnancy is itself an uncommon form of ectopic pregnancy, making ovarian heterotopic pregnancy exceptionally rare. This is a case of spontaneous heterotopic pregnancy in a woman with a history of multiple prior medical abortions, presenting with a failed intrauterine pregnancy and persistent right ovarian ectopic gestation. Early diagnosis through serial ultrasonography and prompt surgical intervention resulted in a favourable maternal outcome.
References
Fernandez H, Gervaise A (2004) Ectopic pregnancies after infertility treatment: modern diagnosis and therapeutic strategy. Hum Reprod Update 10(6):503–513. doi: 10.1093/humupd/dmh043
Callen PW Ultrasonography in obstetrics and gynecology. In: Levine D (ed) Ectopic Pregnancy, 5th edn. Saunders Elsevier, Philadelphia, pp 1020–1047
Xiao HM, Gong F, Mao ZH, Zhang H, Lu GX (2006) Analysis of 92 ectopic pregnancy patients after in vitro fertilization and embryo transfer. J Cent South Univ 31(4):584–587
Louis-Sylvestre C, Morice P, Chapron C, Dubuisson JB (1997) The role of laparoscopy in the diagnosis and management of heterotopic pregnancies. Hum Reprod 12(5):1100–1102. doi: 10.1093/humrep/12.5.1100
Jeon HS, Shin HJ, Kim IH, Chung DY (2012) A case of spontaneous heterotopic pregnancy presenting with heart activity of both embryos. Kor J Obstet Gynecol 55(5):339–342. doi: 10.5468/KJOG.2012.55.5.339
Elito NAMD, Montenegro M, Costa Soares RDA, Camano L (2008) Unruptured ectopic pregnancy—diagnosis and treatment. State of art. Revista Brasileira de Ginecologia e Obstetricia 30(3):149–154. doi: 10.1590/s0100-72032008000300008
Dündar Ö, Tütüncü L, Müngen E, Muhcu M, Yergök YZ (2006) Heterotopic pregnancy: tubal ectopic pregnancy and monochorionic monoamniotic twin pregnancy: a case report. Perinatal J 14(2):96–100
Tamai K, Koyama T, Togashi K (2007) MR features of ectopic pregnancy. Eur Radiol 17(12):3236–3246. doi: 10.1007/s00330-007-0751-6
Li XH, Ouyang Y, Lu GX (2013) Value of transvaginal sonography in diagnosing heterotopic pregnancy after in-vitro fertilization with embryo transfer. Ultrasound Obstet Gynecol 41(5):563–569. doi: 10.1002/uog.12341
Bontis J, Grimbizis G, Tarlatzis BC, Miliaras D, Bili H. Intrafollicular ovarian pregnancy after ovulation induction/intrauterine insemination: pathophysiological aspects and diagnostic problems. Hum Reprod. 1997 Feb;12(2):376-8. doi: 10.1093/humrep/12.2.376. PMID: 9070729
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright (c) 2026 Dayna Shroff (Author)