Heterotopic pregnancy in a natural conception cycle presenting as acute abdomen: A case report and literature review

Abstract

Heterotopic pregnancy is the simultaneous development of an intrauterine pregnancy and an ectopic pregnancy. Although it is common with assisted reproductive technology (ART), this fatal condition rarely occurs in natural conception cycles, with a rate of just one in 30,000 pregnancies. A high index of suspicion can help in timely diagnosis and appropriate treatment. We report a case of heterotopic pregnancy in a 28-year-old woman presenting with signs and symptoms of acute abdomen at 8 weeks of amenorrhea. The diagnostic problems and literature were reviewed.

Keywords

• adnexal mass
• heterotopic pregnancy
• laparoscopy