Summary:
A heterotopic pregnancy is a rare complication of pregnancy
in which both extra-uterine (ectopic pregnancy) and
intrauterine pregnancy occur simultaneously. The prevalence
of heterotopic pregnancy is estimated at 0.6- 2.5: 10,000
pregnancy. It is a challenge for obstetrician to manage the
tubal pregnancy without interruption of intrauterine
pregnancy. Here we describe a case who had left tubal alive
ectopic pregnancy & also intrauterine alive pregnancy
simultaneously after a natural conception. This patient was
managed successfully with laparoscopic left salpingectomy,
and intrauterine pregnancy has been continuing. There are
some precautions during laparoscopic procedure & post
operative period which can help for continuation of
intrauterine pregnancy. In our clinical experience, this is
an extreme rare disorder and we feel interest to report this
case. A heterotopic pregnancy can result from a natural
conception; it requires a high index of suspicious for early
and timely diagnosis; a timely intervention can result in a
successful outcome of the intrauterine fetus.
Key words: Laparoscopic surgery, Tubal pregnancy,
heterotopic pregnancy.
(J Bangladesh Coll Phys Surg 2016; 34: 218-221)