A case of heterotopic pregnancy with tubal rupture

Heterotopic Pregnancy (HP) is the simultaneous development of an intra-uterine pregnancy and ectopic pregnancy. In natural cycle, it is a very rare event. With the increasing popularity of ovulation induction performed during assisted reproductive techniques, its incidence has significantly increased. However, diagnosis is often delayed because of its rarity and difficulty. Heterotopic pregnancy is an important differential diagnosis to consider in patients with intra-uterine pregnancies presenting with acute abdominal pain and hemoperitoneum. Here we are reporting a case of heterotopic pregnancy in a 26-year-old woman presented with symptoms and signs of ruptured tubal pregnancy with live intra-uterine gestation at 8 weeks of amenorrhea.