Abstract. The word heterotopic pregnancy is used to replace the old term of combine
pregnancy. Heterotopic pregnancy is a intra uterine pregnancy that coincides with a second
pregnancy with a location at extrauterine. Most heterotopic pregnancies are the pregnancy of
the fallopian tubes and uterus, but also can happen at cornu, ovaries, cervix, and others. The
incidence of heterotopic pregnancy is estimated about 1 in 30.000, but when associated with
Assisted Reproductive Techniques ( ART ), the incidence is increase to 1 in 7.000 and after
ovulation can reach to 0,5 % - 1 %. To ensure a clinical diagnosis suspected of ectopic
pregnancy, Transvaginal Sonography ( TVS ) and Transabdominal sonography are
irreplaceable. Direct visualization of uterine and pelvic tubes with laparoscopy offers a reliable
diagnosis for almost all cases of ectopic pregnancy suspected. The principles management of
heterotopic pregnancy are elimination of the ectopic pregnancy, conservation of the intrauterine
pregnancy and haemostasis.
3.1. Management