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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Case Report
Spontaneous heterotopic pregnancy leading to intrauterine abortion and subsequent ruptured ectopic pregnancy with a βhCG of 125 mIU/ml: a case report
P. Trompoukis1,*, C. Chaidogiannos1, A. Zourla1, S. Grapsas1, C. Salampasis1, I. Papoulias1, D. Kassanos1
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1
3rd Department of Obstetrics and Gynecology, University of Athens, “Attikon” Hospital, Athens (Greece)
Clin. Exp. Obstet. Gynecol. 2008, 35(1), 81–82;
Published: 10 March 2008
Abstract
A case of heterotopic pregnancy after spontaneous conception with abortion of the intrauterine pregnancy and subsequent rupture of the ectopic pregnancy is presented. A 34-year-old woman at five weeks of gestation presented with a ruptured ectopic pregnancy after spontaneous abortion of an intrauterine pregnancy with mIU/ml βhCG as low as 125 mIU/mL. Close monitoring of βhCG and careful ultrasound examination together with patient consultation are extremely important in the management of heterotopic pregnancy, especially in cases of diagnostic uncertainness.
Keywords
Heterotopic pregnancy
βhCG
Spontaneous pregnancy
Combined ectopic pregnancy
Simultaneous intra- and extrauterine pregnancy