Successful Management of a Heterotopic Pregnancy Following Bilateral Salpingo-oophorectomy: A Case Report

Abstract Heterotopic pregnancy, characterized by the simultaneous presence of intrauterine and ectopic pregnancies, is a rare but significant complication in reproductive medicine, particularly among patients undergoing assisted reproductive technologies (ART). This case report documents the successful management of a heterotopic pregnancy following bilateral salpingo-oophorectomy in a 36-year-old woman. The patient, gravida 4, para 2 + 1, presented with mild vaginal bleeding and lower abdominal pain at 9 weeks gestation. Ultrasound examination revealed two gestational sacs, one intrauterine and one ectopic. Following laparoscopic surgery to address the ectopic pregnancy, the intrauterine pregnancy progressed normally and culminated in a successful vaginal delivery at term. This case showed the importance of early detection and comprehensive management in achieving positive outcomes for heterotopic pregnancies, even in patients with a history of significant reproductive surgical interventions. Further research is needed to refine diagnostic and treatment protocols for such high-risk cases. Keywords: Heterotopic pregnancy, bilateral salpingo-oophorectomy, ectopic pregnancy, intrauterine pregnancy, assisted reproductive technologies, early detection, ultrasound, laparoscopic surgery, case report.