CASE REPORT OF SPONTANEOUS HETEROTOPIC PREGNANCY AND REVIEW OF LITERATURE

Heterotopic pregnancy is the simultaneous occurrence of an intrauterine pregnancy (IUP) and an extrauterine pregnancy. It is an extremely rare condition, with an estimated incidence of 1 in 30,000 pregnancies. Despite its rarity, the presence of a confirmed IUP does not exclude the possibility of a concurrent extrauterine pregnancy. The clinical presentation typically includes abdominal pain, vaginal bleeding, and an adnexal mass alongside an intrauterine pregnancy. A ruptured ectopic pregnancy is a critical condition requiring urgent diagnosis and intervention due to the risk of intra-abdominal bleeding and hemorrhagic shock. In such cases, the ectopic gestational sac should be surgically removed, either via laparotomy or laparoscopy.