Heterotopic pregnancy: diagnostic challenges and management of ruptured ectopic pregnancies in the presence of a viable intrauterine pregnancy

Asma Arabi; Ghizlane Graiti; Ibtissam Bellejdel; Zainab Chatbi; Hafsa Taheri; Hanane Saadi; Ahmed Mimouni

doi:10.18203/2320-1770.ijrcog20250881

Authors

Asma Arabi Department of Gynecology and Obstetrics of the University Hospital Center Mohhamed VI, University Mohamed first of Medicine and Pharmacy of Oujda, Morocco
Ghizlane Graiti Department of Gynecology and Obstetrics of the University Hospital Center Mohhamed VI, University Mohamed first of Medicine and Pharmacy of Oujda, Morocco
Ibtissam Bellejdel Department of Gynecology and Obstetrics of the University Hospital Center Mohhamed VI, University Mohamed first of Medicine and Pharmacy of Oujda, Morocco
Zainab Chatbi Department of Gynecology and Obstetrics of the University Hospital Center Mohhamed VI, University Mohamed first of Medicine and Pharmacy of Oujda, Morocco
Hafsa Taheri Department of Gynecology and Obstetrics of the University Hospital Center Mohhamed VI, University Mohamed first of Medicine and Pharmacy of Oujda, Morocco
Hanane Saadi Department of Gynecology and Obstetrics of the University Hospital Center Mohhamed VI, University Mohamed first of Medicine and Pharmacy of Oujda, Morocco
Ahmed Mimouni Department of Gynecology and Obstetrics of the University Hospital Center Mohhamed VI, University Mohamed first of Medicine and Pharmacy of Oujda, Morocco

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20250881

Keywords:

Heterotopic pregnancy, Intrauterine and ectopic pregnancies, Life-threatening condition

Abstract

Heterotopic pregnancy (HP), the simultaneous occurrence of intrauterine and ectopic pregnancies, is a rare but potentially life-threatening condition. It poses diagnostic and management challenges, especially in natural conception cycles. We report two cases of heterotopic pregnancies, highlighting the clinical presentation, diagnostic approach, and therapeutic management. These cases underscore the importance of maintaining a high index of suspicion for HP in patients presenting with pelvic pain or abnormal bleeding, even with confirmed intrauterine pregnancy.

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