Heterotopic pregnancy in a natural conception cycle. A case report

  • AU El–Nafaty
  • GS Melah Department of Obstetrics & Gynaecology, Federal Medical Centre, PMB 037, Gombe, Nigeria
  • AA Massa
  • UR Yahaya
  • M Bukar
  • DD Kizaya


We report a case of combined intrauterine and tubal pregnancy in a 32 year old para 1+ 0. The patient presented at the Gynaecological emergency unit, with lower abdominal pain, and vaginal bleeding. A pelvic scan confirmed an intrauterine pregnancy. While being managed as a case of threatened abortion, her condition deteriorated and the likelihood of an ectopic pregnancy was entertained. A repeat scan revealed significant peritoneal collection, suggestive of haemoperitoneum, and laparotomy confirmed heterotopic pregnancy. She had a right salpingectomy without complications. The patient had a supervised antenatal care and safe delivery of the intrauterine pregnancy.

Nigerian Journal of Clinical Practice Vol. 8(2) 2005: 128-129

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eISSN: 1119-3077