Successful Management of Heterotropic Pregnancies with Favorable Outcomes

Abstract

Introduction: Heterotrophic pregnancy, or coexistence of intrauterine and extra uterine pregnancy, is a rare entity, with a difficult pre-operative diagnosis. The incidence in the general population is estimated to be 1 in 30,000 to 1 in 40,000. Cases: We present two interesting cases of heterotrophic pregnancies with successful outcomes. The illustrated cases did not have any risk factor for the heterotypic gestation and presented in early gestation with abdominal pain. Both the patients were taken up for operative management and we were able to continue the intrauterine pregnancy further to a term delivery. Prompt diagnosis and management could save the intrauterine pregnancies and the ectopic pregnancies were treated timely. Conclusion: The two cases represent heterotypic pregnancy in patients with no risk factors. Quick operative intervention is the mainstay of management.