Abstract

NADIM Chaimaa*, CHATER Sara, BELHAOUZ Ismail, DAGDAG Samia, Pr. A. Anssari, Pr. M. Elyousfi, Pr. F. Elhassouni and Pr. S. Bargach

ABSTRACT

Background: The simultaneous existence of an ectopic pregnancy and an intrauterine pregnancy is known as heterotopic pregnancy. These are identical twin pregnancies, where one nest is in the uterus and the other, wherever it may be, is ectopic. Although it is a rare pathology, there has been a noticeable increase in its occurrence in recent years due to the recurrence of high genital infections and the progress of medical procedures to help in reproduction. We report a case of heterotopic pregnancy. Case Présentation: A 29-year-old pregnant woman presented at 13 weeks to the emergency department with mild vaginal bleeding, and abdominal pain. Transvaginal ultrasound revealed a nine-week-old tubal pregnancy with an intrauterine thirteen-week-old gestational sac confirming HP. A salpingectomy was performed and the extrauterine pregnancy was successfully removed with the preservation of the intrauterine embryo. The course of the intrauterine pregnancy was uneventful and the patient gave birth to a healthy boy via vaginal delivery. Conclusion: Spontaneous heterotopic pregnancy is very rare. Early pelvic ultrasound during the first trimester should be routine to obtain an accurate diagnosis and proper management of such cases.