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Volume 28, Issue 143, January 2024

Heterotopic Pregnancy in spontaneous pregnancy after previous Assisted Reproductive Techniques (ART)

Tahani Mohammed Aljuhani¹, Ghofran Saleem Alhejaili², Mohand Ebrahim A Nooli², Daliyah Abdulhamid Alqulaiti², Shahad Saud Aljohani², Lubna Ahmed Murtada², Renad Mohammed Alsaedi³

¹Maternity and Children Hospital, Obstetrics and Gynaecology Consultant, King Salman Bin Abdulaziz Medical City, Al-Madinah Al- Munawwara, Saudi Arabia
²Maternity and Children Hospital, Resident, King Salman Bin Abdulaziz Medical City, Al-Madinah Al-Munawwara, Saudi Arabia
³College of Medicine, Medical Intern, Al-Rayan Medical Colleges, Al- Madinah Al-Munawwara, Saudi Arabia

ABSTRACT

Heterotopic pregnancy (HP) is a rare condition, particularly in spontaneous pregnancies that follow assisted reproductive techniques (ART). This case report describes a 33-year-old female from Saudi Arabia, who is Gravida 2, Para 0+1. She conceived spontaneously after a history of male-factor azoospermia in her first marriage. An ultrasound examination showed the presence of two gestational sacs (GS) - one located in the uterus and the other on the left ovary, which confirmed the diagnosis of heterotopic pregnancy. The patient then underwent an exploratory laparotomy with salpingostomy, which successfully managed the ectopic pregnancy. This case highlights the challenges involved in diagnosing and managing heterotopic pregnancies, particularly in the context of previous ART.

Keywords: Hetertopic pregnancy, assisted reproductive techniques