Heterotopic pregnancy is rare under natural circumstance (conception). We report the first case of heterotopic pregnancy in spontaneous conception with four previous caesarean sections and ruptured tubal ectopic with resultant successful normal intra-uterine pregnancy delivered at term after salpingectomy. A 32-year-old gravida 5 para 4+0 with 3 living children, with 4 previous caesarean sectio...

Heterotopic pregnancy is the occurrence of simultaneous intrauterine and extrauterine pregnancies. Heterotopic pregnancy most commonly occurs during the first trimester of pregnancy in women who have significant risk factors including assisted reproductive therapy, prior ectopic pregnancy, and prior pelvic surgery or pelvic inflammatory disease. Although rare, heterotopic pregnancy must be reco...

Heterotopic pregnancy is defined as a uterine pregnancy in conjunction with an extrauterine pregnancy. Cervical heterotopic pregnancy represents a rare type of ectopic pregnancy, reported to be less than 0.1% of all pregnancies. We present the case of a rare event of a simultaneous intrauterine gestation combined with cervical heterotopic pregnancy in a natural conception cycle. A 32 year old p...

Introduction: Interstitial pregnancies account for approximately 2% to 4% of all ectopic pregnancies; however, without timely diagnosis and treatment, they are associated with a high rate of morbidity and mortality. The traditional surgical approach has been laparotomy with cornual wedge resection or even hysterectomy. With advances in laparoscopic surgery, new surgical techniques have been rep...

BACKGROUND Heterotopic cesarean scar pregnancy is a cesarean scar pregnancy combined with an intrauterine pregnancy that predisposes a woman to life-threatening complications such as uterine rupture and massive bleeding. Preservation of the intrauterine pregnancy in heterotopic cesarean scar pregnancy is a great challenge. CASE PRESENTATION We report a case of a 33-year-old woman with heterot...

Transvaginal colour and angio Doppler blood flow analysis combined with serial measurement of human chorionic gonadotrophin (HCG) concentration is reported here for the first time to study the local vascularity of a cornual pregnancy and to monitor the effectiveness of medical therapy. Interestingly, a strong relationship between morphological changes of trophoblastic tissue and the intensity o...

Heterotopic pregnancy is a potentially life threatining condition and an important cause of mortality and morbidity. Risk of heterotopic pregnancy is increased by assisted reproductive techniques (ART). We report such a case of heterotopic pregnancy after embryo transfer in a primary infertile 38-year old woman. Sixteen days after detection of intrauterine pregnancy by ultrasound, the patient w...