Abstract

Objective: The aim of this report is to present a case of heterotopic pregnancy occurring in spontaneous cycle and ended up in term delivery.

Case: A 21 year-old primigravida admitted to the emergency clinic with the complaints of amenorrhea, abdominal pain and vaginal bleeding. Transvaginal ultrasound scan showed an 8 weeks old live intrauterine pregnancy and a left tubal ectopic pregnancy. Laparoscopic salpingostomy was performed for ectopic pregnancy and intrauterine pregnancy was continued. The follow-up of the pregnancy was uneventful. A live healthy fetus was delivered by cesarean section at term.

Conclusion: Spontaneous heterotopic pregnancy is a rare but life threatening condition and always must be considered in the differential diagnosis of patients with abdominal pain and vaginal bleeding during early pregnancy.

Key Words: Heterotopic Gestation; Adnexial Mass; Ectopic Pregnancy.