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A spontaneous heterotopic pregnancy presenting with acute abdomen treated with natural orifice transluminal endoscopic surgery procedure: Case report
Author(s) -
Keziban Doğan,
Cihan Kaya,
Derya Ece Ilıman,
İbrahim Karaca,
Hüseyin Cengiz
Publication year - 2020
Publication title -
journal of turkish society of obstetric and gynecology
Language(s) - English
Resource type - Journals
eISSN - 1307-7007
pISSN - 1307-699X
DOI - 10.4274/tjod.galenos.2019.76300
Subject(s) - heterotopic pregnancy , medicine , natural orifice transluminal endoscopic surgery , surgery , acute abdomen , abdomen , ectopic pregnancy , pregnancy , laparoscopy , salpingectomy , biology , genetics
Heterotopic pregnancy occurs 1 in 30000 pregnancies. We present case of an acute abdomen caused by a ruptured ectopic component. Our patient had no known risk factors, which made the diagnosis even more challenging. Intrauterine pregnancy was desired by patient and her husband. A natural orifice transluminal endoscopic surgery (NOTES) procedure was performed, which is a next-generation minimally invasive procedure in this area. After the procedure, our patient was discharged one day after surgery with a viable intrauterine pregnancy.

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