Case Report of Successful Term Pregnancy Following Open Laparotomy for Spontaneous Heterotopic Pregnancy Heterotopic Pregnancy Section Case Report

Abstract

Heterotopic pregnancy is the simultaneous presence of intrauterine and ectopic pregnancy. It’s clinical presentation are usually non-specific and this can result in wrong diagnosis. The presence of an intrauterine sac on ultrasound scan gives a false reassurance making diagnosis to be challenging. Management of this condition may be challenging due to the presence of an unwanted ectopic pregnancy and a desired intrauterine pregnancy. We report a rare case of successful term pregnancy following open laparotomy for spontaneous heterotopic pregnancy associated with massive haemoperitoneum. A 32-year-old gravida 1 para 0 woman presented with lower abdominal pain after 7 weeks of absent menses. There was generalized abdominal tenderness, guarding and rebound tenderness. Abdominopelvic ultrasound scan showed a gestational sac both within the uterus and right adnexa. She was counseled on the findings and consent was obtained for an emergency laparotomy after resuscitation. Mother and baby were subsequently discharged in good condition after delivery. In conclusion, heterotopic pregnancy is very rare following spontaneous natural cycle conception. Diagnosis is challenging but prognosis appears good.