Case Report

Ruptured spontaneous heterotropic pregnancy: a case report


  • Özlem Erten
  • Hülya Dede
  • Volkan Kurtaran
  • Bülent Yirci
  • Orhan Gelişen
  • Ümit Göktolga

Turk J Obstet Gynecol 2012;9(4):227-230


Heterotropic pregnancy is a condition of the co-existence of different gestations. With the widespread use of assisted reproductive techniques its incidence is increasing.


A 30-year-old woman, gravida 2 para 1,with spontaneous pregnancy at 7 weeks and 6 days gestational age according to the last menstruation, applied to our emergency department with abdominal pain and vaginal bleeding.The medical history includes a caesarean surgery, intrauterin device (IUD) usage and a procedure of intrauterine insemination (IUI) following the ovulation induction by clomiphene citrate resulting with unsuccessful pregnancy. he patient who got pregnant spontaneously and had a single five-weeks intrauterine pregnancy at the application.The patient was diagnosed with ruptured heterotropic pregnancy and treated with laparoscopic salpingectomy.Upon the consent and request of the family, intrauterine pregnancy was evacuated.No complications occurred in the postoperative period. was reported consistent with heterotropic pregnancy.


Regardless of the presence of any risk factors in pregnant women diagnosed with intrauterine pregnancy, adnexa and pelvic structures should be examined in detail.. The detection of intrauterine pregnancy in the ultrasonography does not eliminate heterotropic pregnancy. Early diagnosis before development of complications has a life saving importance.

Keywords: Heterotopic pregnancy, Intrauterine pregnancy, Ultrasound