[Intrauterine pregnancy complicated by coexisting ectopic pregnancy]

Authors have presented the case of coexisting 11 week intrauterine and ectopic pregnancies in the 25 years old woman, which had earlier been operated on the left ovary dermoid cyst. That operation could be regarded as an ectopic pregnancy risk factor, but the suspicion of an ectopic pregnancy has been suggested only by physical examination, and sonography and laparoscopy were most important in final diagnosis. Ectopic pregnancy has been removed by laparotomy according to the progression of the disease. The case has drawn the attention to the necessity of thorough diagnosis in pregnant women particularly in those ones with lower abdominal pain in early pregnancy and with unfavorable gynaecological and obstetric past, for example appendages operation such as in our case. It was also been emphasized, that the complex diagnosing of patients with already recognized ectopic pregnancy should be proceeded. Sonography, especially the one equipped with the endovaginal probe, plays the most important part in diagnosing. In some questionable cases laparoscopy, along with diagnostical significance, also makes the surgical treatment possible.