Heterotopic Pregnancy : A Rare Case Report

Abstract

This case report describes a 22-year-old primigravida with a spontaneous pregnancy who presented with lower abdominal pain, vaginal discharge, and vomiting. Imaging confirmed a dual pregnancy with a 6-week intrauterine gestational sac and a concurrent ectopic pregnancy in the right adnexal region. The diagnosis and management of heterotopic pregnancies are challenging but crucial for maternal and fetal health. This case highlights the importance of suspecting heterotopic pregnancy in symptomatic pregnant women, utilizing both clinical and imaging assessments to guide timely and effective treatment. Successful management through laparoscopic surgery of the ectopic component while preserving the intrauterine pregnancy usually results in a favourable outcome in these cases.