A case report on heterotopic pregnancy

Abstract

Heterotopic pregnancy is a rare clinical condition where both intrauterine and extrauterine pregnancy coexists. In a spontaneous conception, the diagnosis is difficult to make, but an important one to consider in the presence of acute abdominal pain, haemorrhagic shock and intrauterine pregnancy. Presenting a case of 27-year-old female G3P1A1L1 with previous C-section who presented with chief complaints of acute abdominal pain and signs of haemorrhagic shock at a gestational age of 10 weeks 1 day. The diagnosis of ruptured ectopic pregnancy coexisting with viable intrauterine gestation was made with ultrasound findings as well as clinical features necessitating emergency exploratory laparotomy. Successful treatment was done for ruptured ectopic pregnancy and intrauterine pregnancy was found viable which continued to full term uneventfully and live MCH of 3.5 kg was delivered by C-section.