The challenge in diagnosing and managing heterotopic interstitial pregnancy in natural conception / Noor Azura Noor Mohamad … [et al.]

Noor Mohamad, Noor Azura and Daud, Suzanna and Sun, Ta Thow and Singh Chopra, Darminder and Abdullah, Bahiyah (2019) The challenge in diagnosing and managing heterotopic interstitial pregnancy in natural conception / Noor Azura Noor Mohamad … [et al.]. Journal of Clinical and Health Science, 4 (2). pp. 1-5. ISSN 0127 – 984X

Abstract

Heterotopic interstitial pregnancy in natural conception is very rare. Definitive diagnosis is made by systematic pelvic ultrasound. Simultaneous viable conception observed in both intraand extra-uterine is pathognomonic of heterotopic interstitial pregnancy. We report a 34-yearold woman primigravida at 10 weeks’ amenorrhoea who underwent evacuation of retained product of conception for missed miscarriage. Intraoperatively, minimal product of conception was retrieved. Bedside pelvic ultrasound showed cystic mass at right superolateral part of uterine fundus suspicious of interstitial pregnancy. Cornual resection was performed via laparotomy. Histopathological examination showed presence of product of conception and interstitial pregnancy. Serum β-human chorionic gonadotropin dropped from 10,027 IU/l on day one post-ERPC to 210 IU/l at day three post-cornual resection. This case report highlighted the challenge in diagnosing heterotopic interstitial pregnancy conceived naturally. Timely diagnosis may avert dire consequences of massive haemorrhage from ruptured uterine cornua.

Metadata

Item Type: Article
Creators:
CreatorsID Num. / Email
Noor Mohamad, Noor AzuraUNSPECIFIED
Daud, SuzannaUNSPECIFIED
Sun, Ta ThowUNSPECIFIED
Singh Chopra, DarminderUNSPECIFIED
Abdullah, BahiyahUNSPECIFIED
Subjects: Q Science > QR Microbiology > Bacteria
R Medicine > RG Gynecology and obstetrics
Divisions: Universiti Teknologi MARA, Selangor > Puncak Alam Campus > Faculty of Medicine
Journal or Publication Title: Journal of Clinical and Health Science
Journal: UiTM Journal > Journal of Clinical and Health Sciences
ISSN: 0127 – 984X
Volume: 4
Number: 2
Page Range: pp. 1-5
Official URL: https://jchs-medicine.uitm.edu.my/images/manuscrip...
Item ID: 30078
Uncontrolled Keywords: Heterotopic interstitial pregnancy, pelvic ultrasound, pelvic magnetic resonance imaging (MRI), cornual resection
URI: http://ir.uitm.edu.my/id/eprint/30078

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