Diagnosis and management of multiple-site heterotopic pregnancy with acute appendicitis: Case report

This case underscores the diagnostic complexity of overlapping HP and AA symptoms, emphasizing the role of serial biomarker assessment and early surgical intervention in high-risk populations. Bilateral tubal ectopic pregnancies, though rare, warrant heightened vigilance in assisted reproductive technology (ART) patients. Dynamic imaging and intraoperative exploration are critical to avoid missed diagnoses. Timely laparoscopic surgery, coupled with threatened abortion management, can optimize maternal and neonatal outcomes.