RECURRENT HETEROTOPIC PREGNANCY AFTER REPEATED IN-VITRO FERTILIZATIONTREATMENT

We report a rare clinical case of recurrent heterotopic pregnancy in t he same patient following in-vitro fertilization treatments, A 27 year old woman, mho suffered from infertility for the last 4 years due to male factor, was being treated by intracytoplasmic sperm injection whi ch resulted in two episodes of combined intrauterine and tubal pregnan cy, in a 1 year period, The first ended in emergency salpingectomy by laparotomy and missed intrauterine abortion, The second was managed by laparoscopic salpingectomy and the synchronous pregnancy ended in the delivery of twins, The possibility of heterotopic pregnancy and recur rent heterotopic pregnancy, though rare, should be considered by every gynaecologist, especially those who use infertility treatment on pati ents.