A Rare Case of Ruptured Heterotopic Pregnancy after Natural Conception Demanding Immediate Attention

Abstract

Objective. We present the case of a ruptured heterotopic pregnancy after natural conception and its management during hospi- talization.

Case Report. The patient presented to the emergency department of our hospital with symptoms of lower abdominal pain and vaginal blood loss. She reported a confirmed intrauterine pregnancy at 8 weeks’ gestation following natural concep- tion. The patient was admitted to the hospital with the diagnosis of a ruptured ovarian cyst. Due to hemodynamic instability, an urgent exploratory laparotomy was performed. The histological review showed an ectopic fallopian pregnancy, confirming the final diagnosis of an heterotopic pregnancy.

Conclusion. Heterotopic pregnancy is a very rare condition, even more so if it happens spontaneously. As a result, it has been insufficiently studied in relation to proper management and timely diagnosis.