Subserosal Ectopic Pregnancy: Diagnostic Challenges and ManagementAhmed Sabry 1,2, Gamal Sayed 3,4, Reda Youssef, 1,2,3, Samah Kohla 2,5, Sana Badr 1, Hashem Alakshar 1, Thomas Farrell 4, and Amal Alobaidly 1.1-Department of Clinical Imaging, Hamad Medical Corporation, Doha, Qatar2- Weill Cornell Medical College, Doha, Qatar.3- Clinical Department, Qatar University, College Of Medicine, Doha, Qatar4- Department of Obstetrics & Gynecology, Women’s Wellness and Research Center, Doha, Qatar5- Department of Laboratory Medicine and Pathology, Hematology Division, Hamad Medical Corporation, Doha, Qatar

Subserosal Ectopic Pregnancy: A Rare Case ReportAhmed Sabry 1,2, Gamal Sayed 3,4, Reda Youssef, 1,2,3, Samah Kohla 2,5, Sana Badr 1, Hashem Alakshar 1, Thomas Farrell 4, and Amal Alobaidly 1.1-Department of Clinical Imaging, Hamad Medical Corporation, Doha, Qatar2- Weill Cornell Medical College, Doha, Qatar.3- Clinical Department, Qatar University, College Of Medicine, Doha, Qatar4- Department of Obstetrics & Gynecology, Women’s Wellness and Research Center, Doha, Qatar5- Department of Laboratory Medicine and Pathology, Hematology Division, Hamad Medical Corporation, Doha, Qatar

We report a 32-year-old pregnant patient, presented with palpitation and generalized weakness. She was found to have a severe anemia with haemoglobin of 4.2 gm/dL.She gave a history of recurrent anaemia, which only occurred during pregnancy. bone marrow aspirate showed sideroblastic anaemia. Further investigation revealed significantly low pyridoxine level.

Acquired Amegakaryocytic Thrombocytopenia is a rare hematologic condition, with <50 cases reported. It is characterized by severe thrombocytopenia with complete absence or severe reduction of megakaryocytes in the bone marrow with otherwise normal hematopoiesis. Its mechanism is not fully understood but is suggested to be related to anti-thrombopoietin antibodies.

Heterotopic pregnancy (HP) describes the simultaneous presence of two pregnancies at different implantation sites. One is intrauterine and the other is ectopic. It is challenging to diagnose HP. We present a very rare case of HP diagnosed in the first trimester by US and MRI and managed successfully.