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Heterotopic pregnancy in spontaneous conception: Report of three cases and review of literature
Zied Khediri1, Chaouki Mbarki2, Anis Ben Abdelaziz3, Najeh Hsayoui1, Mezghenni S4 Hedhili Oueslati5
1Resident in Gynecology & Obstetrics, Department of Gynecology & Obstetrics, Hospital of Ben Arous, Tunisia.
2Assistant Professor in Gynecology & Obstetrics, Department of Gynecology & Obstetrics, Hospital of Ben Arous, Tunisia.
3Resident in Gynecology & Obstetrics, Department of Gynecology & Obstetrics, Hospital of Ben Arous, Tunisia.
4Professor in Radiology, Department of Radiology, Hospital of Ben Arous, Tunisia.
5Professor in Gynecology & Obstetrics, Department of Gynecology & Obstetrics, Hospital of Ben Arous, Tunisia.

doi:10.5348/ijcri-2012-10-189-CS-2

Address correspondence to:
Chaouki Mbarki
Yesminette, Ben Arous
Tunisia Postal Code - 2029
Phone: 00216 2179 95 63
Email: chabmbarki@yahoo.fr

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How to cite this article:
Khediri Z, Mbarki C, Abdelaziz AB, Hsayaoui N, Mezghenni S, Oueslati H. Heterotopic pregnancy in spontaneous conception: Report of three cases and review of literature. International Journal of Case Reports and Images 2012;3(10):8–11.


Abstract
Introduction: Heterotopic pregnancy is an uncommon clinical condition in which intrauterine and ectopic pregnancies occur at the same time.
Case Report: We report three cases of heterotopic pregnancy in a natural conception that had different clinical presentation and surgical management.
Conclusion: Although heterotopic pregnancy is a rare event in spontaneous conception, physicians must always keep in mind that confirming an intrauterine pregnancy does not exclude the coexistence of an ectopic pregnancy especially in women presenting a pelvic pain.

Key Words: Heterotopic, Ectopic pregnancy, Spontaneous conception

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Author Contributions:
Zied Khediri – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Chaouki Mbarki – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Anis Ben Abdelaziz – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Najeh Hsayoui – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mezghenni S – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hedhili Oueslati – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Zied Khediri et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)