title: Spontaneous heterotopic pregnancy with tubal rupture: a case report and review of the literature.
abstract: BACKGROUND
  Heterotopic pregnancy is diagnosed as the presence of two gestations simultaneously. This is a rare situation with a reported prevalence of 0.08% in normal conception.
  
  
  METHODS
  We report a case of a 24-year-old primigravida of Indian origin who was seen in the emergency department with a diagnosis of a ruptured ectopic pregnancy. A careful ultrasound assessment led to the diagnosis of a heterotopic pregnancy. Immediate surgical intervention with supportive measures resulted in a successful outcome.
  
  
  CONCLUSIONS
  An obstetrician should keep in mind the occurrence of a heterotopic pregnancy while dealing with pregnant females. The ectopic gestation invariably ruptures over a period of time leaving the patient in an emergency situation. A quick assessment and careful handling of the normal gestation can lead the patient to term with gratifying results.
authors.affiliation: Department of Obstetrics & Gynecology and Pathology, Government Medical College & Hospital Sector 32-B, Chandigarh-160 030 India.
authors.forename: Rimpy
authors.initials: R
authors.lastname: Tandon
authors.forename: Poonam
authors.initials: P
authors.lastname: Goel
authors.forename: Pradip Kumar
authors.initials: PK
authors.lastname: Saha
authors.forename: Lajya
authors.initials: L
authors.lastname: Devi