Laparoscopic Management of Tubal Ectopic of Heterotopic Pregnancy

Authors

  • Eti Saha Assistant professor( gynae ), Khulna Medical College, Khulna
  • Jharna Das Assistant professor, Institute of Nuclear, Medicine and allied science, Khulna Medical College, Khulna
  • Mollik Moniruzzaman Consultant (anaesthesia), Shaheed SK Abu Naser, Specialised Hospital, Khulna
  • Citta Ranjan Bachher Director, Shibsha clinic, Khulna

DOI:

https://doi.org/10.3329/jbcps.v34i4.32490

Keywords:

Laparoscopic surgery, Tubal pregnancy, heterotopic pregnancy

Abstract

A heterotopic pregnancy is a rare complication of pregnancy in which both extra-uterine (ectopic pregnancy) and intrauterine pregnancy occur simultaneously. The prevalence of heterotopic pregnancy is estimated at 0.6- 2.5: 10,000 pregnancy. It is a challenge for obstetrician to manage the tubal pregnancy without interruption of intrauterine pregnancy. Here we describe a case who had left tubal alive ectopic pregnancy & also intrauterine alive pregnancy simultaneously after a natural conception. This patient was managed successfully with laparoscopic left salpingectomy, and intrauterine pregnancy has been continuing. There are some precautions during laparoscopic procedure & post operative period which can help for continuation of intrauterine pregnancy. In our clinical experience, this is an extreme rare disorder and we feel interest to report this case. A heterotopic pregnancy can result from a natural conception; it requires a high index of suspicious for early and timely diagnosis; a timely intervention can result in a successful outcome of the intrauterine fetus.

J Bangladesh Coll Phys Surg 2016; 34(4): 218-221

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Author Biography

Eti Saha, Assistant professor( gynae ), Khulna Medical College, Khulna



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Published

2017-05-07

How to Cite

Saha, E., Das, J., Moniruzzaman, M., & Bachher, C. R. (2017). Laparoscopic Management of Tubal Ectopic of Heterotopic Pregnancy. Journal of Bangladesh College of Physicians and Surgeons, 34(4), 218–221. https://doi.org/10.3329/jbcps.v34i4.32490

Issue

Section

Case Reports