DOI: 10.36347/sjmcr.2024.v12i06.052

Pages: 1172-1177

Background: This case report discusses a rare occurrence of heterotopic pregnancy, defined as the simultaneous presence of an intrauterine pregnancy and an extrauterine pregnancy. Case Presentation: The patient was a 29-year-old primiparous woman with no history of assisted reproduction, who consulted us at her fourteenth week of amenorrhea for pelvic pain with metrorrhagia. After clinical examination, an evolutive triple pregnancy was suspected, with moderate peritoneal effusion. Abdominal-pelvic magnetic resonance imaging confirmed the triple pregnancy. The patient was admitted to the operating theatre where general anaesthesia was performed, followed by extraction of the ectopic pregnancy and adnexectomy. Conclusions: Heterotopic pregnancy presents diagnostic and therapeutic challenges. Surgical treatment, even by laparotomy, does not appear to interfere with the development of the intrauterine pregnancy. Particular attention must be paid to anesthesia and post-operative monitoring to ensure favorable outcomes for both mother and fetus.