ULTRASOUND DIAGNOSIS OF HETEROTOPIC PREGNANCY WITH VIABLE FETUSES

Combined pregnancy is an under-estimated and increasing clinical condi tion. Its recognition is usually made post-operatively. Ultrasound fin dings are not specific. Diagnosis is possible only when the cardiac ac tivity of the extrauterine and intrauterine fetus can be detected. In the literature, 18 pre-operative sonographic demonstrations of such ca ses are reported. A correct ecographic assessment can show a definite diagnosis or indicate a diagnostic laparoscopy minimizing maternal mor bidity and mortality and improving the prognosis of the intrauterine f etus. In this report, ultrasound diagnostic aspects are discussed.