Diagnosis and Treatment of simultaneous intrauterine and tubal pregnancy after clomiphen stimulation

Spontaneous simultaneous intrauterine and ectopic pregnancies are a rare phenomenon. Usually, they are however the result of assisted reproductive techniques, such as the wide spread use of clomiphen for the treatment of anovulation. We present a 34- year-old 0gIp at 8 weeks admitted to our outpatient clinic for distinct left lower abdominal pain. She was diagnosed with a heterotopic pregnancy located in the left distal part of the tube. Simultaneously, transvaginal ultrasound showed an intact intrauterine pregnancy. This was a clomiphen stimulated conception following several laparoscopies including chromopertu…