Abstract

Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extra uterine pregnancies occur at the same time. It can be a life threatening condition because the diagnosis can be missed easily .Here a case of 33 years old G2P1L1 came with 2 months of amenorrhoea where pregnancy was confirmed and she was doing regular antenatal check up, came with C/O pain abdomen and bleeding per vaginum for past 3 days and patient was not diagnosed as heterotopic pregnancy. Patient was taken up for emergency laprotomy and was diagnosed ruptured tubal pregnancy with intrauterine pregnancy.

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