EC Gynaecology

Spontaneous heterotopic pregnancy is an exceptionally rare condition characterized by the simultaneous presence of at least two pregnancies at different implantation sites, with one being intrauterine. The majority of cases are diagnosed in the first trimester. Heterotopic pregnancy is a rare occurrence, estimated to affect approximately 1 in 30,000 spontaneous pregnancies. However, its prevalence is significantly higher in assisted reproductive techniques, with some reports suggesting an incidence of up to 1 in 100 cases.

We report a case of heterotopic pregnancy in a patient of 27 years who presented to the gynecological emergency department with spontaneous pelvic pain at 9 weeks of amenorrhea, hemodynamically stable.

An ultrasound scan revealed a heterotopic pregnancy, with an extrauterine mass measuring 3.46 cm, an intrauterine gestational sac containing a 9-week embryo with positive cardiac activity accompanied this. The patient underwent a laparoscopic left salpingectomy. Her intrauterine pregnancy progressed to term, and she had a spontaneous vaginal delivery at 37+1 weeks.

The patient's post-partum course was smooth, and she was discharged from the hospital in good condition.

 Keywords: Ectopic Pregnancy; Heterotopic Pregnancy; Laparoscopy; Pregnancy Outcome; Case Report

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