Heterotopic pregnancy presenting as an acute abdomen: A diagnostic masquerader

Simultaneous intrauterine and extrauterine pregnancy is called heterotopic pregnancy, It is a rare complication of pregnancy, especially in the absenc e of predisposing factors. It is known to present with a variety of symptom s and signs often leading to a delay in establishing the correct diagnosis. We report the case of a 29-year-old woman, known to be 14 weeks pregnant, presenting with acute abdominal pain. The confirmation of a viable intraute rine pregnancy led to a general surgery consultation. A heterotopic rupture d right ectopic tubal pregnancy was found. Right salpingectomy was performe d. The patient recovered uneventfully. The intrauterine pregnancy was not a ffected. This case illustrates the variable presentation of heterotopic pre gnancy and the need for general surgeons to be suspicious of pregnancy rela ted complications, even in the presence of a viable intrauterine pregnancy.