Laparoscopic Management of Tubal Ectopic of Heterotopic Pregnancy

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.