Heterotopic pregnancy: Discovery of ectopic pregnancy after elective abortion

We report a case of combined intrauterine and tubal pregnancy in a 23-year- old woman. The patient came to the emergency department complaining of lowe r abdominal pain after having had an elective abortion 2 weeks earlier. Her physician had done pelvic ultrasonography, noting an intrauterine pregnanc y before the abortion. Our working diagnosis in the emergency department wa s retained products of conception versus postabortion endometritis. Pelvic ultrasonography in the emergency department revealed an ectopic pregnancy w ithout evidence of retained products of conception, and the patient had a r ight salpingotomy with removal of the ectopic fetus without complications.