Live birth after laparotomy for ruptured heterotopic cornual and intrauterine twin gestation in a Spontaneous cycle: A case report and literature review

Abstract

Background: Heterotopic pregnancy is the coexistence of an intrauterine and extrauterine gestation.It is a rare occurrence especially in a natural conception. Its incidence is however increasing with the advent of  assisted reproductive techniques.
Case Presentation: A rare case of triplet heterotopic cornual gestation involving twin intrauterine and a cornual gestation in a spontaneous conception.She presented with an acute abdomen and she had laparotomy with cornual resection.The intrauterine pregnancy remained uneventful till term.
Conclusion: Heterotopic pregnancy is a life threatening  condition.Management with laparotomy can result in the survival of the intrauterine gestation till term without adverse outcome.

Keywords: Heterotopic gestation,cornual ectopic gestation,term  gestation.