Abstract:

Heterotopic pregnancy is defined by the simultaneous presence of an intrauterine pregnancy (GIU) and an ectopic pregnancy (GEU) in the same patient regardless of the location of the ectopic pregnancy. It is a pathological form of bi-ovular dizygotic twin pregnancy which implanted in the uterine cavity and the other in an ectopic situation. It is rare but exceptional, of ultrasound its diagnostic difficulties remain. This frequency has sharply increased in recent years due to the development of MAP techniques and the high frequency of upper genital infections. We report a case of a 37-year-old parturient who consulted for acute pelvic pain and bleeding in a context of amenorrhea and hemodynamic instability, a heterotopic pregnancy was diagnosed by ultrasound and an urgent mini laparotomy was performed. Through this case we want to retrospectively underline the great interest of the early diagnosis of heterotopic pregnancy in order to preserve the patients subsequent fertility as well as the GIU .

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