Spontaneous heterotopic pregnancy: a rare possibility

Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine occur simultaneously. It life-threatening that requires immediate accurate diagnostics treatment. We present the case of 34-year-old multigravida in her 7 weeks gestation came to emergency ward with complains pain abdomen for 3 days. Ultrasonographic examination showed live mild moderate free fluid moving internal echoes. An exploratory laparotomy done left sided tubal ectopic removed along right salpingectomy patient was willing family planning. A high index suspicion required diagnose clinical well radiological findings may be insufficient diagnosis.