Heterotopic pregnancy at Komfo Anokye Teaching Hospital: a case report.

J Med Case RepNov 4, 2026 (epub)
Case ReportObstetrics & GynecologyEmergency MedicineRadiology (Diagnostic)Open access

Rex Mawuli Kwadjo Djokoto, Brago Afrifa Sarpong, Edward Anabila Agana et al.

✦ AI-curated · Sources linked

Case in brief

A 34-year-old woman presented after two months of amenorrhoea with acute abdominal pain and haemorrhagic shock. Bedside ultrasound showed a live 8-week intrauterine pregnancy as well as a left adnexal mass and pelvic free fluid. Emergency laparotomy found approximately 1.28 L of hemoperitoneum and a ruptured left isthmic ectopic pregnancy, treated by total salpingectomy. The intrauterine pregnancy remained viable; postoperative progesterone support was given, and serial beta-hCG levels declined. The pregnancy progressed to 38 weeks, ending in delivery of a live female infant weighing 2.5 kg.

What made this case unusual

The confirmed live intrauterine pregnancy did not exclude a concurrent ruptured ectopic pregnancy, despite the patient presenting in haemorrhagic shock.

Diagnostic / clinical pearl

In a pregnant patient with acute abdominal pain, identifying an intrauterine gestation should not end assessment for an ectopic component; this case had both an intrauterine pregnancy and a ruptured adnexal pregnancy.

Source

PubMed · PMID 42983760Free full text on PubMed Central

Published in J Med Case Rep. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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