Faculty mentor/PI email address

jim010@aol.com

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Keywords

heterotopic pregnancy, emergency management of heterotopic pregnancy, risks in heterotopic pregnancy, abdominal pain, vaginal bleeding

Date of Presentation

5-6-2026 12:00 AM

Poster Abstract

Heterotopic pregnancy occurs when there is simultaneous intrauterine pregnancy as well as extra uterine ectopic pregnancy.  Historically, this was considered very rare with an estimated incidence of 1 in 30,000 pregnancies however, the incidence has been increased with the use of assisted reproductive  technology.  The most common location is the fallopian tube and less common include the cervix or the ovary. It can be difficult to diagnose because the presence of an intrauterine pregnancy on ultrasound may falsely reassure clinicians and delay evaluation for a concurrent ectopic pregnancy.  These patients usually present with nonspecific symptoms including abdominal pain, vaginal bleeding, or on the extreme end, hemoperitoneum.  Delay in diagnosis can result in tubal rupture, significant hemorrhage and can threaten the viability of the intrauterine pregnancy.  This reports describes a case of heterotopic pregnancy that was identified in the emergency department.

Disciplines

Female Urogenital Diseases and Pregnancy Complications | Medicine and Health Sciences

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May 6th, 12:00 AM

Heterotopic Pregnancy: A Case Report

Heterotopic pregnancy occurs when there is simultaneous intrauterine pregnancy as well as extra uterine ectopic pregnancy.  Historically, this was considered very rare with an estimated incidence of 1 in 30,000 pregnancies however, the incidence has been increased with the use of assisted reproductive  technology.  The most common location is the fallopian tube and less common include the cervix or the ovary. It can be difficult to diagnose because the presence of an intrauterine pregnancy on ultrasound may falsely reassure clinicians and delay evaluation for a concurrent ectopic pregnancy.  These patients usually present with nonspecific symptoms including abdominal pain, vaginal bleeding, or on the extreme end, hemoperitoneum.  Delay in diagnosis can result in tubal rupture, significant hemorrhage and can threaten the viability of the intrauterine pregnancy.  This reports describes a case of heterotopic pregnancy that was identified in the emergency department.

 

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