Heterotopic pregnancy ending in IUD and A subsequent successful pregnancy

ABSTRACT

A case of heterotopic pregnancy in a 25 years old, 0+0 is reported after clomiphene citrate. This was misdiagnosed by 2 early ultrasound reports, but diagnosed on clinical ground and confirmed on ultrasound at 8 weeks of gestation. Successful Laparotomy for removal of ruptured tubal eetopic was performed saving a viable intrauterine pregnancy. Fetal demise at 28 weeks occurred because of intrauterme growth restriction starring at 25 weeks of gestation. The next spontaneous conception was intrauterme within 1 year and progressed normally till 34 weeks, when caesaream section was performed for decreased fetal movements. An alive male of 2.2 kg delivered and managed in NCU for pre-maturity