Heterotopic Pregnancy with Tubal Rupture following IVF Conception - A Case Report

Abstract

Heterotopic pregnancy is the coexistence of an intrauterine and an ectopic pregnancy. There has been a rising incidence of heterotopic pregnancy with the development and easy accessibility to ART techniques. Studies have shown that this increase is due to ovarian hyperstimulation syndrome and multiple embryo transfer during IVF. Other risk factors are previous tubal surgeries or previous pelvic inflammatory disease. The aim of this report is to present a case of ruptured heterotopic pregnancy conceived via ART in a 37-year-old primigravida, who presented with abdominal pain and vaginal bleeding. She was treated with laparoscopic right salpingectomy. She was discharged on postoperative day four with a single live intrauterine gestation of 8-9 weeks. She had a normal course for her intrauterine pregnancy and delivered a healthy baby at 38 weeks. Hence, early diagnosis and prompt surgical management are the keys to reducing complications, but diagnosis may often be missed if the adnexa is not carefully examined.