Abstract
Heterotopic pregnancy is defined by the coexistence of intrauterine and ectopic pregnancy. In our case report, a 41-year-old woman with a positive pregnancy test visited our hospital outpatient department for the first time. She was diagnosed with a viable heterotopic pregnancy, for which she underwent laparotomy and uterine curettage. Our clinical case has a prevalence of one in every 30.000 pregnancies, since it was a spontaneous conception and there was no family history of multiple pregnancies. Risk factors were medical history of a previous ectopic pregnancy, pelvic operations and her age being over forty. Despite her good recovery from the first operation, she underwent a second laparotomy with the aim to treat an obstructive ileus due to adhesions.
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