DOI: 10.36347/sjmcr.2014.v02i03.007

Pages: 138-140

A heterotopic pregnancy is a phenomenon of co-existing intrauterine and ectopic pregnancies. Heterotopic pregnancies are diagnostic and therapeutic challenges for obstetricians. Incidence is more with Assisted Reproductive Techniques and ovulation induction. Within 3 months we received 2 cases of heterotopic pregnancies, conceiving after ovulation induction, presented with shock due to delay in diagnosis. First case was bicornuate uterus with live pregnancy in one horn and ruptured tubal pregnancy with haemoperitoneum. Salpingectomy was done and uterine pregnancy continued till term. In Second case, triplet intrauterine and ruptured tubal pregnancy, for which salpingectomy was done. One intrauterine pregnancy continued and other two gestational sacs vanished. Heterotopic pregnancy should be suspected in any patient who presents with lower abdominal pain in early pregnancy, especially following fertility treatment. Interesting thing in our cases is continuation of intrauterine pregnancies even after life-threatening rupture of ectopic pregnancies.