The forgotten child - a case of heterotopic, intraabdominal and intrauterine pregnancy carried to term

Heterotopic pregnancies are estimated to be less frequent than one in 30 00 0 if no assisted reproduction technologies are performed. Here we report a case which occurred in Tanzania. An abdominal pregnancy at term was first m isdiagnosed as an ovarian tumour and diagnosed on the first post-partum day of the intrauterine fetus, which was delivered spontaneously. The abdomina l pregnancy was then treated by laparotomy and removal of the placenta. The fetus was alive and healthy. The follow-up of the twins was normal.