Ruptured Tubal Heterotopic Pregnancy with Preserved Intrauterine Pregnancy to 31 Weeks

Résumé

Heterotopic pregnancy is a rare but potentially life-threatening condition defined by the simultaneous presence of an intrauterine and an ectopic pregnancy. Although uncommon in spontaneous conception, its incidence increases with ovulation induction and assisted reproductive techniques. Diagnosis remains particularly challenging in low-resource settings where access to early ultrasonography is limited. We report the case of a 30-year-old woman, gravida 3 para 0 abortion 2, who conceived after ovulation induction with letrozole. An initial ultrasound at 6 weeks of gestation confirmed an intrauterine pregnancy. Four weeks later, follow-up ultrasonography revealed a viable intrauterine pregnancy associated with hemoperitoneum and an adnexal mass suggestive of a heterotopic pregnancy. The patient presented with hypotension and tachycardia indicating hemodynamic instability.

Mots-clés

• Heterotopic pregnancy
• Ectopic pregnancy
• Intrauterine pregnancy
• Tubal rupture
• Hemoperitoneum
• Laparotomy
• Resource-limited setting.

Comment citer cet article

Test Test (2026) Ruptured Tubal Heterotopic Pregnancy with Preserved Intrauterine Pregnancy to 31 Weeks. ANNales de l'Université de Kamina, 1(1)