Spontaneous heterotopic pregnancy with tubal rupture: a case report and review of the literature.
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.
Tandon
Rimpy
R
Department of Obstetrics & Gynecology and Pathology, Government Medical College & Hospital Sector 32-B, Chandigarh-160 030 India.
Goel
Poonam
P
Saha
Pradip Kumar
PK
Devi
Lajya
L