A rare case of heterotopic pregnancy: case report

Nisi Patel, Komal Patel, Bipin R. Shah


Heterotopic pregnancy is defined as the coexistence of intrauterine and extrauterine gestation. The incidence is low and estimated to be 1 in 30,000 of spontaneous pregnancies though it is becoming commoner with assisted reproductive technique. It can be a life-threatening condition and can be easily missed with the diagnosis being overlooked. We present a rare case of spontaneous heterotopic pregnancy with intrauterine gestation without cardiac activity and unruptured tubal ectopic.


Heterotopic pregnancy, Unruptured, Medical management

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Govindarajan MJ, Rajan R. Heterotopic pregnancy in natural conception. J Hum Reprod Sci. 2008;1:37-8.

Hirose M, Nomura T, Wakuda K, Ishguru T, Yoshida Y. Combined intrauterine and ovary pregnancy: A case report. Asia Oceania J Obstet Gynaecol. 1994;20:25-9.

Peleg D, Bar-Hawa I, Neaman-Leaven M, Ashkenazi J, Ben-Rafael Z. Early diagnosis and successful non-surgical treatment of viable combined intrauterine and cervical pregnancy. Fertil Steril. 1994;62:405-8.

Jerrad D, Tso E, Salik R, Barish RA. Unsuspected heterotopic pregnancy in a woman without risk factors. Am J Emerg Med. 1992;10:58-60.

Raziel A, Friedler S, Herman A, Strassburger D, Mayman R, Ron-El R. Recurrent heterotopic pregnancy after repeated in vitro fertilization treatment. Hum Reprod. 1997;12:1810-2.

Devoc R, Pratt J. Simultaneous intrauterine and extrauterine pregnancies. Am J Obstet Gynecol. 1948;56:1119-26.

Richards SR, Stempel LE, Carlton BD. Heterotopic pregnancy: Reappraisal of incidence. Am J Obstet Gynecol. 1982;142:928-30.

Tal J, Haddad S, Gordon N, Timor-Tritsch L. Heterotopic pregnancy after ovulation induction and assisted reproduction technologies: A literature review from 1971 to 1993. Fertil Steril. 1996;66:1-12.

Sohail S. Haemorrhagic corpus luteum mimicking heterotopic pregnancy. J Coll Physicians Sur Pak. 2005;15:180-1.

Gruber I, Lahodny J, Illmensee K, Losch A. Heterotopic pregnancy: Report of three cases. Wien Klin Wochenschr. 2002;114:229-32.