A case of spontaneous heterotopic pregnancy presenting with heart activity of both embryos

Heterotopic pregnancy, combined intrauterine and extra-uterine (ectopic) pregnancy, is a potentially fatal condition that rarely occurs in natural conception cycle. There has been a rise of this entity mainly due to ovulation induction and in vitro fertilization performed in women undergoing assisted reproductive technology. Diagnosis is often delayed causing life threatening situations,since heterotopic pregnancy is still rare and unexpected in natural conception. We report a case of patient with spontaneous heterotopic pregnancy in the fi rst trimester with a review of the literature. Transvaginal ultrasound confi rmed heart activity of both embryos in uterus and the right ampulla portion. KCI Citation Count: 0