Vol. 5, Issue 1, Part A (2023)

Introduction: A heterotopic pregnancy (HP) is the coexistence of intrauterine and extra uterine pregnancy. It is sporadic but becoming more prevalent as a result of assisted reproductive technologies (ART). Heterotopic pregnancies are a diagnostic and therapeutic challenge for obstetricians. It can be a life-threatening condition and can be missed, with the diagnosis being overlooked.
Case presentation: A 39-year-old female with primary infertility for 10 years presented to our clinic. She had four IUI cycles in the past and was taken up for IVF. Ultrasound examination at 7 weeks of gestation revealed one intrauterine pregnancy of 7 weeks and 5 days and a right tubal ectopic pregnancy with mild hemoperitoneum. After an early and successful management with laparoscopic right salpingectomy, she finally delivered a healthy baby.
Conclusion: With IVF-ET, the probability of an HP rapidly rises, as a result, early sonographic tests should be conducted following ART, with special attention on the examination of the adnexa. The goal of managing an HP ought to remove the ectopic pregnancy while also protecting the life of the mother and the intra-uterine pregnancy. A successful intrauterine pregnancy can be achieved with timely intervention and avoiding potentially fatal complications. A suitable preventative approach against the incidence of HP would be the policy of elective single embryo transfer.