Three cases of heterotopic pregnancy at a tertiary hospital in Port Elizabeth, South Africa

  • M. Mabenge
  • E. Hancke
  • Z. Sipuka
Keywords: Heterotopic pregnancy, salpingectomy, haemoperitonium, transvaginal ultrasound, laparoscopy, laparotomy.


Heterotopic pregnancy is defi ned as the coexistence of intrauterine and extra uterine pregnancy. A high index of suspicion is needed for early and timely diagnosis and intervention. Clinicians should remain alert to the possibility of heterotopic pregnancy even when an  intrauterine pregnancy is confi rmed. Management options for heterotopic pregnancy includes expectant management, surgical  intervention, medical management as well as transabdominal sonographic guided aspiration of the ectopic gestational embryo.With early diagnosis and treatment, 70% of the intrauterine pregnancies will reach viability


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eISSN: 1027-9148