Table of Content Details

Abstract

Introduction: Heterotopic Pregnancy is simultaneous presence of single or multiple
intrauterine pregnancy along with ectopically located pregnancy, most commonly
tubal ectopic. The prevalence in naturally conceived pregnancy is rare, approx. 1 in
30,000 cases. With ART incidence increased to 1 in 100 cases.
The Case: A 23 year primigravida with gestational age of 12 week presented with
pain at right iliac fossa and bleeding per vagina for 2 days. On examination, her
vitals was stable with mild pallor. Per abdominal examination revealed mc Burney’s
point tenderness with mild per vaginal bleeding. Patient was scheduled for emergency
laparotomy. Intra-operatively it was diagnosed as a case of ruptured tubal ectopic
pregnancy with viable intrauterine pregnancy.
Conclusion: Intrauterine pregnancy doesn’t rule out the coexistence of another
pregnancy on ectopic site. So careful examination is utmost needed during first
trimester especially in symptomatic mother.

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