Challenges in the diagnosis and management of a ruptured heterotopic gestation following ultrasound-guided embryo transfer in low resource settings: a case report

Heterotopic pregnancies are increasing in incidence with the advent of rising prevalence of in vitro fertilization and embryo transfer (IVF-ET) globally. Although rare, this condition is a serious potentially life-threatening gynaecological complication. We present the case of a 36-year-old Ghanaian...

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Bibliographic Details
Published in:Journal of medical case reports 2024-01, Vol.18 (1), p.28-5, Article 28
Main Authors: Oyeh, Ernest, Ofori, Samuel, Hiadzi, Edem K, Sefogah, Promise E
Format: Article
Language:English
Subjects:
Abdomen
Assisted reproductive technology
Care and treatment
Case Report
Case reports
Ectopic pregnancy
Embryo
Embryology
Embryonic development
Emergency medical care
Heterotopic pregnancy
In vitro fertilization and embryo transfer
Infertility
Medical diagnosis
Pregnancy
Pregnant women
Reproductive technologies
Salpingectomy
Surgical techniques
Ultrasonic imaging
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Summary:Heterotopic pregnancies are increasing in incidence with the advent of rising prevalence of in vitro fertilization and embryo transfer (IVF-ET) globally. Although rare, this condition is a serious potentially life-threatening gynaecological complication. We present the case of a 36-year-old Ghanaian woman who conceived following IVF and presented two weeks after confirmation of intrauterine gestation with sudden onset lower abdominal pain. A diagnosis of ruptured heterotopic pregnancy was made, laparotomy and salpingectomy was done followed with further management of the intrauterine gestation. To the best of our knowledge, this is the first reported case of heterotopic pregnancy in Ghana. A high index of suspicion for heterotopic pregnancy is required even in the presence of a confirmed intrauterine gestation following IVF-ET.
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-023-04317-x