EC Gynaecology

Heterotopic pregnancy, the simultaneous presence of intrauterine and ectopic gestations, is rare in natural conceptions but poses significant diagnostic and therapeutic challenges. We report a unique case of a 31-year-old woman with a spontaneously conceived heterotopic pregnancy complicated by a ruptured left tubal ectopic gestation. Prompt recognition, emergency laparoscopic intervention, and multidisciplinary care ensured maternal survival and successful continuation of the intrauterine pregnancy to term. This case highlights the need for clinical vigilance, early imaging, and the pivotal role of expert laparoscopic surgical management in complex obstetric emergencies.

 Keywords: Heterotopic Pregnancy (HP); Intrauterine Gestation; Ectopic Gestation

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