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Human Reproduction, Vol. 14, No. 5, 1372-1374, May 1999
© 1999 European Society of Human Reproduction and Embryology

Case Report:The forgotten child—a case of heterotopic, intra-abdominal and intrauterine pregnancy carried to term

M. Ludwig1,3, M. Kaisi2, O. Bauer1 and K. Diedrich1

1 Department of Gynecology and Obstetrics, Medical University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany, and 2 Department of Obstetrics and Gynecology, Muhimbili Medical Centre, University of Dar-es-Salaam, Dar-es-Salaam, Tanzania

Heterotopic pregnancies are estimated to be less frequent than one in 30 000 if no assisted reproduction technologies are performed. Here we report a case which occurred in Tanzania. An abdominal pregnancy at term was first misdiagnosed as an ovarian tumour and diagnosed on the first post-partum day of the intrauterine fetus, which was delivered spontaneously. The abdominal pregnancy was then treated by laparotomy and removal of the placenta. The fetus was alive and healthy. The follow-up of the twins was normal.

Key words: abdominal pregnancy/ectopic pregnancy/heterotopic pregnancy

3 To whom correspondence should be addressed


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