Heterotopic tubal pregnancy with a naturally conceived live twin intrauterine pregnancy in a patient with systemic lupus erythematosus: A case report

• DOI: 10.1016/j.crwh.2021.e00348
• Publication Date: 2021-07-31T23:36:27Z
• Authors: Thomas Ntounis; Zacharias Fasoulakis; Antonios Koutras; Michail Diakosavvas; Arzou Bourazan; Athanasios Pagkalos; Athina A. Samara; Emmanuel N. Konto...
• Keywords: Heterotopic pregnancy

Heterotopic pregnancy (HP) is defined as the simultaneous occurrence of an intrauterine and extrauterine gestation. Risk factors contributing to this condition are similar those which contribute ectopic pregnancy. While a triple heterotopic gestation through natural conception uncommon, here we present case patient with spontaneous twins concurrent tubal gestation, where also had systemic lupus erythematosus. During seventh week presented acute abdomen signs hemodynamic instability; decision was taken perform emergency laparotomy. Haemoperitoneum, total torsion right ovary salpinx, ruptured subsequent necrosis were found intraoperatively. The discharged on sixth postoperative day monitored throughout her whole pregnancy, progressing uneventfully. Two healthy neonates delivered by cesarean section at 36 weeks In conclusion, physicians treating women reproductive age should be aware possible HP, even in absence risk factors.