Combined intrauterine and extrauterine gestation with a general surgical presentation

A case is presented of a combined intrauterine and extrauterine gestation. The diagnosis of the ectopic pregnancy was made intraoperatively with a pre-operative diagnosis of a simple intestinal obstruction, while the intrauterine pregnancy was diagnosed after a spontaneous abortion. A family history of twinning associated with a surgical evidence of chronic inflammatory disease is thought to be the cause.