Abstract
Author(s): Mohamed I Taema*, Ibrahim Ali and Amr Sobhy
Heterotopic pregnancy is the presence of an intrauterine gestational sac in addition to presence of an ectopic pregnancy. Its incidence is very rare but has increased with the use of ART, reaching up to 1% of these cases. Currently there are no clear guidelines regarding the management of heterotopic pregnancy, but agreed is excision of the ectopic pregnancy, conservation of the intrauterine pregnancy. In this case report, a 41 year old woman previous 3 CS pregnant at 6 weeks by ICSI presented with acute abdomen, diagnosed as heterotropic where cornual pregnancy was excised through laparotomy and conservation of intrauterine pregnancy and then follow up till delivery.
Conclusion: Heterotropic pregnancy has increased nowadays and cornual ectopic need special experience to face such surgical challenge.