Heterotopic pregnancy Vital intrauterine pregnancy 12+4, vital ectopic pregnancy 11+4

Authors: H. Palasová;  M. Fabian
Authors‘ workplace: Gynekologicko-porodnické oddělení Slezská nemocnice, Opava, primář MUDr. A. Dörr, CSc.
Published in: Ceska Gynekol 2019; 84(5): 351-354
Category: Case Report


Objective: We present a case of a 32-year-old female patient, tertigravid after spontaneous conception with acute pain in the abdomen. It was a heterotopic pregnancy at 12 weeks of gestation, with late manifestation of clinical symptoms.

Design: Case report.

Setting: Department of Obstetrics and Gynecology, Silesian Hospital in Opava.

Conclusion: Heterotopic pregnancy is a rare, but potentially fatal complication of early pregnancy. The aim should be to remove the ectopic pregnancy while maintaining the vital intrauterine pregnancy. 76% of pregnancies in utero at the time of intervention for heterotopic pregnancy end in childbirth.


heterotopic pregnancy – ectopic pregnancy


1. Annika Chadee, Shadi Rezai, Catherine Kirby, et al. Spontaneus heterotopic pregnancy: dual case report and review of literature. J Obstet Gynec, 2016, 2145937, PMC free article, PubMed.

2. Govindarajan, MJ., Rajan, R. Heterotopic pregnancy in natural conception. J Hum Reprod Sci, 2008, p. 37–38, PMC free article, PubMed.

3. Hanáček, J., Pán, M., et al. Heterotopická gravidita. Postgrad Med, 2007, 1, s. 32–39.

4. Hudeček, R., Ventruba, P., Crha, I. Heterotopická gravidita – závažné komplikace asitované reprodukce. In Mára, M., a kol. Vybrané kazuistiky z gynekologické endoskopie, Praha: Mladá fronta, 2013, s. 76–83.

5. Onoh, Ejikewme, Ohwe, Agieglov. Rupted ectopic in heterotopic pregnency: management and spontaneus vertex delivery of a live baby at term. Nigerian J Clin Pract, 2018, 21(5), p. 672–677.

6. Tejas, S., Mehta, MD., MPH. Ultrasonography of pregnancy of unknown location. UpToDate, 2018, Jan 03.

7. Thomas, A., Molinaro, K., Barnhard, T. Abdominal pregnancy, cesarean scar pregnancy and heterotopic pregnancy, UpToDate, 2018, Jul 22.

8. Togas Tulandi, MD. Ectopic pregnancy: clinical manifestations and diagnosis. UpToDate, 2019, Feb 08.

9. Togas Tulandi, MD. Ectopic Pregnancy: Incidence, risk factors and pathology. UpToDate, 2016, Apr 13.

10. Yao Xie, Xia Zhao. Sucessful laparoscopic management of heterotopic pregnancy at 12+2 weeks of gestation. Chinese Med J, 2018, PMC free article PubMed.

Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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