Spontaneous Heterotopic Pregnancy with Tubal Rupture: A Case Report and Review of the Literature

Rimpy Tandon; Poonam Goel; Pradip Kumar Saha; Lajya Devi


J Med Case Reports 

In This Article

Abstract and Introduction


Introduction: 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.
Case presentation: 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.
Conclusion: 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.


Heterotopic pregnancy (HP) is diagnosed in the presence of simultaneous gestations at two or more implantation sites. It was first reported in the year 1708 as an autopsy finding.[1] Its occurrence is rare in spontaneous conception with an incidence of 1:30,000,[1] while in assisted reproductive techniques (ART), the incidence is found to be as high as 1%.[1] We report a case of HP in a natural conception cycle that presented with tubal rupture.