Heterotopic gestation: a case report and review of the literature

ABSTRACT

A case of heterotopic gestation is described after clomiphene therapy. Following the removal of the ectopic the intrauterine pregnancy continued uneventfully until term. A short review of the literature is made here with particular reference to the predisposing causes, and to the difficulties encountered in making early and accurate diagnosis of heterotopic gestation. We would like to draw attention to the advantages of combining ultrasonography and early laparoscopic intervention for making a definite diagnosis. Routine curettage in cases of "rule-out ectopic" laparoscopy procedures may result in an inadvertant evacuation of a wanted pregnancy