Journal of Emergencies, Trauma, and Shock
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SHOCK SCENARIOS
Year : 2009  |  Volume : 2  |  Issue : 3  |  Page : 196-198

Abdominal pregnancy as a cause of hemoperitoneum


Postgraduate Department of Surgery, SMHS Hospital, Srinagar, India

Correspondence Address:
Sheikh Muzamil Shafi
Postgraduate Department of Surgery, SMHS Hospital, Srinagar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.55342

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The coexistence of intrauterine and extrauterine pregnancy, the heterotopic pregnancy, is a rare obstetric phenomenon. The preoperative diagnosis of this condition is very difficult; leading to a higher maternal morbidity and fetal loss. We experienced a case of intrauterine pregnancy and ruptured abdominal pregnancy implanted on the illeocaecal region in a 26-year-old primiparous woman. She was clinically misdiagnosed as a case of ruptured ectopic pregnancy, but ultrasonography showed it to be a case of heterotopic pregnancy. Subsequently, the patient was subjected to laparotomy and the ruptured abdominal pregnancy was evacuated. She continued with the intrauterine pregnancy till term and delivered a healthy female baby. Although this condition is unusual, any general surgeon in the emergency department must be aware of this complication and its management, which is often initially misdiagnosed.


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