EC Gynaecology

Spontaneous triple heterotopic pregnancy is a rare condition involving the coexistence of intrauterine gestation with ectopic gestation. We present the first case of a 29-year-old primiparous woman who consulted for abdominal pain and blackish metrorrhagia. Ultrasound confirmed a viable intrauterine twin pregnancy and an abdominal ectopic pregnancy with a viable embryo. The patient was hospitalized for conservative management of the intrauterine pregnancy and underwent laparotomy for safe excision of the abdominal pregnancy. The intrauterine pregnancy was carried to term without complication, with a scheduled caesarean section at 37 weeks. This case highlights the importance of careful and early evaluation for the diagnosis and management of heterotopic pregnancies, which are particularly complex when involving an abdominal location.

 Keywords: Heterotopic Pregnancy; Twin Pregnancy; Abdominal Ectopic Pregnancy; Spontaneous; Laparotomy

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