Abstract
BACKGROUND: Heterotrophic pregnancy is rare complication of pregnancy in which both extra uterine (ectopic pregnancy) and intra uterine pregnancy occur simultaneously. It may also be referred to as combined ectopic pregnancy multiple sited pregnancy or coincident pregnancy. CASE SUMMARY: 26 years old female presented with month of amenorrhea with complaints of pain abdomen since 3 days. She had obstetric score of G4P3L3 with all previous 3 being full term normal vaginal deliveries. USG report was suggestive of ectopic pregnancy and subsequently confirmed with diagnosis of ectopic pregnancy. DISCUSSION: Most of the heterotopic pregnancies present in the first trimester as in this case report. Once a heterotopic pregnancy is diagnosed, the next dilemma that arises is how to manage it without harming the intrauterine pregnancy. Conclusion: Knowledge of the possibility of heterotopic pregnancy and understanding the epidemiological risk factors associated with it are important for early diagnosis and avoiding complications.
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