Spontaneous heterotopic pregnancy with tubal rupture


  • Spandana J. C. Department of Obstetrics and Gynecology, BMCRI, Bangalore, Karnataka, India
  • Suresh S. Kanakannavar Department of Obstetrics and Gynecology, BMCRI, Bangalore, Karnataka, India
  • Umashankar K. M. Department of Obstetrics and Gynecology, BMCRI, Bangalore, Karnataka, India
  • Manuja N. Department of Obstetrics and Gynecology, BMCRI, Bangalore, Karnataka, India




Ectopic pregnancy, Heterotopic pregnancy, Ultrasonography


Heterotopic pregnancy is the coexistence of intrauterine pregnancy (IUP) and extrauterine gestation. It is a rare and dangerous life-threatening condition that is difficult to diagnose and easily missed. The incidence in the general population is estimated to be 1 in 30,000. We report a case of a 24-year-old multigravida who was seen in the emergency department with a diagnosis of a ruptured ectopic pregnancy. A careful ultrasound assessment led to the diagnosis of a heterotopic pregnancy despite lack of any notable risk factors. Immediate surgical intervention with supportive measures resulted in a successful outcome. An obstetrician should keep in mind the occurrence of a heterotopic pregnancy while dealing with pregnant females. It also demonstrates that early diagnosis is essential in order to salvage the intrauterine pregnancy and avoid maternal morbidity and mortality.


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