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September 10, 2025CureusOpen Access

Ruptured Heterotopic Pregnancy Presenting With Hemorrhagic Shock

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Authors

NLNathalie C. LeiteDCDavid Antônio da CostaJAJorge Lino Alves

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Overview

Case report reveals ruptured ectopic pregnancy in a multigravida with hemorrhagic shock, suggesting timely intervention is vital.

Key Points

  • Emergency laparoscopy confirmed a ruptured ectopic pregnancy in the right fallopian tube, requiring urgent salpingectomy.
  • Transabdominal ultrasound indicated a viable intrauterine pregnancy and moderate intraperitoneal fluid, raising alarms for hemoperitoneum.
  • Initial maternal stabilization followed the surgery, but intrauterine fetal death occurred on the first postoperative day.
  • This case illustrates the necessity for heightened clinical suspicion in symptomatic pregnant patients despite a documented intrauterine pregnancy.

Cite This Study

Leite et al. (2025) studied this question.

synapsesocial.com/papers/68c2427db210217d647a417fhttps://doi.org/10.7759/cureus.88109
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