Heterotopic pregnancy with term delivery after rupture of a first-trimester tubal pregnancy - A case report

BACKGROUND: Because heterotopic pregnancy is rave, the presence of an intra uterine pregnancy tends to impede early diagnosis and definitive interventi on for the ectopic component. Delay in diagnosing the condition and failure to proceed quickly with the requisite anesthesia and surgery can jeopardiz e both maternal well-being and survival of the intrauterine fetus. CASE: A patient with heterotopic pregnancy carried the intrauterine pregnan cy to term following first-trimester rupture of the tribal pregnancy, with hypovolemic shock. CONCLUSION: Prompt diagnosis, rapid fluid and blood resuscitation, heart-sp aring anesthesia and gentle, expeditious surgery collectively contributed t o the favorable outcome for the mother and surviving infant.