Heterotopic pregnancy: a case report.

A case of 35 year old gravida 4 para 2(+1) woman with heterotopic pregnancy is presented. She had total salpingectomy for the ectopic pregnancy and spontaneous vaginal delivery of a 3.25 kg live female infant of the intrauterine pregnancy. The need to maintain a high index of suspicion and to intervene early to salvage the intrauterine pregnancy, and to prevent material morbidity and mortality associated with the ectopic pregnancy are emphasized.