Heterotopic pregnancy with live infant.

We report a case of combined intrauterine and tubal pregnancy in a 35-year-old para 4(+2), 4 alive. The patient presented at our gynecological emergency unit with three weeks' history of lower abdominal pain. Her last childbirth was 2 years and her last menstrual period 12 weeks prior to presentation. A pelvic scan revealed an intrauterine gestation co-existing with an ectopic pregnancy. She had an emergency laparotomy with right salpingectomy. The post-operative period was unremarkable. The intrauterine pregnancy was supervised and she carried it to term and eventually had an uneventful vaginal delivery of a live male infant.