CLINICAL ANALYSIS OF SPONTANEOUS HETEROTOPIC PREGNANCY: REPORT OF 13 CASES

SHUJUAN SHU，CHANGCHENG LV，JUANQING LI

Gynecology Department, Women’s Hospital of Zhejiang University, 1st xueshi road, Hangzhou, 310006, China

Objective: Spontaneous heterotopic pregnancy is rare but it is a dangerous condition in pregnant women. This paper discusses its incidence, diagnosis and management. Methods: We retrospectively analyzed 13 spontaneous heterotopic pregnancies diagnosed at the Women’s Hospital of Zhejiang University. The chief complaints, diagnostic characteristics, intraoperative findings, treatment of each patient were reviewed.

Results: 13 cases were identified between January 2000 and December 2014, involving tubal, ovarian, intramural, and cesarean scar heterotopic pregnancies conceived spontaneously. The common chief complaints and symptoms were abdominal pain (7 of 13), vaginal bleeding (7 of 13), and adnexal mass or thickening (9 of 13). Transvaginal ultrasound was an important aid in diagnosis. Surgery was performed in 10 patients, and the medical or expectant managements were also successful.

Conclusion: Heterotopic pregnancies are rare but it has an increasing incidence. Transvaginal ultrasound is usually useful, and timely treatment can improve the prognosis.