A case of combined intra-uterine and extra-uterine pregnancy

Abstract

Combined intra-uterine and extra-uterine pregnancy is a rare condition (Felbo and Fenger,1966). The first description of a case is attributed to a post mortem study by Duverncy in 1708. A case of advanced simultaneous intra-uterine and abdominal pregnancy has recently been reported from Zambia (Das,1975). A case is described of combined intra-uterine and extra-uterine pregnancy complicated by laparotomy for a leaking left ampullary tubal ectopic pregnancy at 6-7 weeks gestation with continuation of the intra-uterine pregnancy to 37-38 weeks gestation and the spontaneous vaginal delivery of a surviving normal female infant. The patient was a 26 year old Caucasian woman, whose only previous pregnancy was a norma' twin confinement at 35 weeks gestation in 1973. There was no family history of multiple pregnancy. Previous abdominal surgery had been an appendicectomy in 1962 and a laparotomy for division of adhesions in 1969.