Case Report of a Spontaneous Heterotopic Pregnancy with Successful Intrauterine Gestation

Abstract

Background: Heterotopic pregnancy is a potentially life threatening condition, that occurs when both intrauterine and extra-uterine gestation co-exist. It is rare following spontaneous pregnancy, and the management may be challenging; late diagnosis may lead to maternal and fetal mortality.

Objective: We present a case of a 27-year-old G4P₀⁺³ woman with heterotopic gestation.

Case Report: She conceived spontaneously, initially presented at tenth week of gestation, defaulted during expectant management, and later had right salpingo-oophorectomy at thirteenth week of gestation. Her presenting complaints were five-week history of both abdominal pain and recurrent vaginal bleeding. Her intrauterine pregnancy was successfully carried to term, when she had an elective caesarean section with good feto-maternal outcome.

Conclusion: All efforts must be made to conserve the intrauterine pregnancy, after the complete removal of the ectopic gestation; subsequent follow-up is essential for optimum care.