Heterotopic Pregnancy in a Natural Conception Following Failed Contraceptive Practice

This report presents another rare case of spontaneous simultaneous intrauterine and extrauterine tubal pregnancies following failed progestogen-only injectable contraceptive. The ruptured heterotopic pregnancy was diagnosed in unruptured state but could not be treated because the couple did not believe/accept the diagnosis and consequently withheld their consent. The patient underwent emergency laparotomy and evacuation of products of intrauterine pregnancy. A high index of suspicion is necessary to ensure early diagnosis and management.

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