Case Report
 
Heterotopic pregnancy and subsequent pregnancy outcome: A case report
Steve Kyende Mutiso1, Abraham Mwaniki Mukaindo2
1MBChB (Bachelor of Medicine and Bachelor of Surgery), Resident, Department of Obstetrics and Gynaecology, Aga-Khan University, Nairobi, Kenya.
2MMED (Masters of Medicine in Obstetrics and Gynaecology), Full time faculty and Consultant Obstetrician and Gynecologist, Department of Obstetrics and Gynaecology, Aga-Khan University, Nairobi, Kenya.

Article ID: Z01201608CR10677SM
doi:10.5348/ijcri-201689-CR-10677

Address correspondence to:
Steve Kyende Mutiso
Department of Obstetrics and Gynaecology
Aga Khan University
P.O. Box 30270-00100, Nairobi
Kenya

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How to cite this article
Mutiso SK, Mukaindo AM. Heterotopic pregnancy and subsequent pregnancy outcome: A case report. Int J Case Rep Images 2016;7(8):508–513.


Abstract
Introduction: Heterotopic pregnancy resulting from spontaneous conception is a rare occurrence. Most will present with symptoms and signs similar to an ectopic pregnancy and surgical management with salpingectomy is often required. We present a case of heterotopic pregnancy that we managed in our facility and its subsequent live pregnancy outcome.
Case Report: An African lady in her first pregnancy presented with abdominal pain with subsequent investigations revealing a heterotopic pregnancy composed of an intrauterine and tubal pregnancy. She underwent laparoscopic salpingectomy recovering well and carried the intrauterine pregnancy to term with a live birth being the outcome.
Conclusion: The case presented is a case of heterotopic pregnancy resulting from spontaneous conception. Surgical management is the preferred method of management and this was required for the reported patient. The outcome of the intrauterine pregnancy is usually good after surgical removal of an ectopic pregnancy and the patient in this report had a relatively uncomplicated pregnancy with a good perinatal outcome. This case adds to the small body of evidence on heterotopic pregnancies, their management and subsequent outcome.

Keywords: Heterotopic, Outcome, Pregnancy


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Author Contributions
Steve Kyende Mutiso – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abraham Mwaniki Mukaindo – Analysis and interpretation of data, 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
© 2016 Steve Kyende Mutiso et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.





About The Authors

Steve Kyende Mutiso is Resident in Obstetrics and Gynaecology at the Aga Khan University Hospital in Nairobi, Kenya. He earned undergraduate degree in Bachelors of Medicine and Bachelor of Surgery from The University of Nairobi in Kenya. He also has a Bachelor in Science in Medical Physiology from the same University. He is currently undertaking a postgraduate degree in Obstetrics and Gynaecology at the Aga Khan University Hospital in Nairobi, Kenya. He has published eight research papers in National and International academic journals. His research interests include fertility and depressive disorders related to pregnancy, miscarriages and pueperium. He intends to pursue a fellowship in fertility and endocrinology in future.



Abraham Mwaniki Mukaindo is Senior Instructor in the Department of Obstetrics and Gynecology at Aga Khan University Nairobi. His interests include translation research and health systems research.