CASE REPORT

HETEROTOPIC PREGNANC WITH OVARIAN IMPLANTATION

Abstract

Heterotopic pregnancy is an extremely rare condition characterized by an ectopic pregnancy combined with eutopic pregnancy. Assisted reproduction treatment is responsible for the incidence increase of this condition. Our case presents a patient first diagnosed with only ovarian pregnancy which is a rare type of ectopic pregnancy, being considered a gynecological emergency and a risk to maternal life. After surgical treatment the obstetric ultrasound showed a simultaneous eutopic pregnancy, characterizing a case of heterotopic implantation. In the case presented, there is difficulty in diagnosis, with eutopic pregnancy being suspected only after the resolution of the ovarian pregnancy. This case highlights the importance of conducting post-resolution clinical follow-up of ectopic pregnancies and also that valuing the patient symptoms is essential. It also highlights the relevance of excluding an ectopic pregnancy, especially when the patient has many risk factors, such as assisted reproduction. In addition, our case emphasizes that the presence of an ectopic pregnancy in the existence of an eutopic one should not be disregarded, being the inverse fact true.