HETEROTOPIC PREGNANCY

Abstract

Heterotopic pregnancy is a rare type of pregnancy and this report presents a detailed overview of a case of heterotopic pregnancy with live intrauterine gestation and ruptured right adenexal gestation. Coexistence of intrauterine and extrauterine gestation is known as heterotopic pregnancy and its incidence is 1: 30,000 of spontaneous pregnancies.1-2 It is associated with significant maternal morbidity and mortality due to the risk of rupture of ectopic pregnancy. There is a false sense of security when an intrauterine gestational sac is seen. This results in the inadequate inspection of adenexae despite a strong initial clinical suspicion of ectopic pregnancy. Thorough holistic approach and ultrasonography are needed in managing these patients