Heterotopic Ovarian - Tubal Pregnancies with Possibilities of Superfetation

Donny Sutrisno Winardo^1, and John J. E. Wantania^{1, 2}

¹Obstetrics and Gynecology Department, Faculty of Medicine, University of Sam Ratulangi, Manado, North Sulawesi, Indonesia

²Prof. Dr. R. D Kandou General Hospital, Jl. Raya Tanawangko No. 54 Malalayang, Manado, North Sulawesi, Indonesia

Cite this paper:
Donny Sutrisno Winardo and John J. E. Wantania. Heterotopic Ovarian - Tubal Pregnancies with Possibilities of Superfetation. American Journal of Medical Case Reports. 2021; 9(4):238-240. doi: 10.12691/ajmcr-9-4-9

Abstract

Heterotopic pregnancy is a rare condition found. The incidence is around 1 in 30,000 spontaneous pregnancies. Ovarian pregnancies occur around 0.5-3% and heterotopic pregnancies around 2% of all ectopic pregnancies. The diagnosis is intricate and based on surgical and histopathological observations. The management is, in spite of medical improvement. We presented an ectopic pregnancy suspected of being a right ovarian pregnancy and undergoing surgery, then 1 month later an ectopic pregnancy reappeared in a tubal rupture on the opposite side. We describe based on the literature review, diagnosis criteria and case management.

Keywords:
heterotopic pregnancy ovarian pregnancy superfetation

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References:

[1]	Li-Ping H, Hui-Min, Jun-Bi G, et all. “Management and Outcome of Heterotopic Pregnancy.” Ann Clin Lab Res. 6 (1). 228. 2018.
[2]	Russman C, Gruner M, Jiang X, et all. “Spontaneous Heterotopic Pregnancy: A Case Report.” Gynecol Obstet. 5. 318. 2015.
[3]	Hong-Jun C, Kyong-Shil Im, Hyun-Joo Jung, et all. “Clinical Analaysis of Ovarian Prengancy: A Report of 49 Cases.” European Journal of Obstetrics and Gynecology and Reproductive Biology. 158. 87-89. 2011.
[4]	Basile F, Cesare C, Quangliozzi L. “Spontaneous Heterotopic Pregnancy, Simultaneous Ovarian and Intrauterine: A Case Report.” Departement of Obstetrics and Gynecology, Catholic University of Sacred Heart, Rome, Italy. 2012.
[5]	Lantieri T, Revelli A, Gaglioti P, et all. “Superfetation after Ovulation Induction and Intrauterine Insemination Performed during an Unknown Ectopic Pregnancy.” Reproductive Biomedicine Online. 20. 664-666. 2010.