Blighted ovum and tubal pregnancy: a rare form of heterotopic pregnancy: case report

Heterotopic pregnancies are rare in spontaneous conceptions. Nonetheless, when it does occur, the intrauterine pregnancy is usually viable. We herein present a true rarity of the coexistence of a blighted ovum and an ectopic pregnancy. A 25 year old G2P1001 married seamstress of African ethnicity at...

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Bibliographic Details
Published in:BMC research notes 2018-04, Vol.11 (1), p.242-242, Article 242
Main Authors: Aroke, Desmond, Ngek, Larry Tangie, Tindong, Maxime, Fomanka, Esua, Achu, Colette, Tanah, Arnold Agwe, Kadia, Benjamin Momo
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Blighted ovum
Case Report
Case reports
Cervix
Coexistence
Diagnosis
Ectopic pregnancy
General anesthesia
Health aspects
In vitro fertilization
Inflammatory diseases
Laparotomy
Pain
Pelvic inflammatory disease
Pregnancy complications
Pregnant women
Ultrasonic imaging
Urinary tract diseases
Urinary tract infections
Urogenital system
Vagina
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Summary:Heterotopic pregnancies are rare in spontaneous conceptions. Nonetheless, when it does occur, the intrauterine pregnancy is usually viable. We herein present a true rarity of the coexistence of a blighted ovum and an ectopic pregnancy. A 25 year old G2P1001 married seamstress of African ethnicity at 8 weeks of amenorrhoea presented to our health facility with a 4 day history of lower abdominal pains and vaginal bleeding for which physical examination revealed a closed cervix. Trans-abdominal ultrasound scan confirmed a diagnosis of a blighted ovum and an ectopic pregnancy. Patient was managed with surgical therapy. Evolution thereafter was uneventful. The case presented confirms that HP can occur in the absence of predisposing factors, and that the detection of a blighted ovum should not preclude the possibility of a simultaneous ectopic pregnancy. A high index of suspicion could lead to early diagnosis, prompt management and a favourable prognosis even in a low-income setting.
ISSN:1756-0500
1756-0500
DOI:10.1186/s13104-018-3345-2