Heterotopic pregnancy is defined by the
coexistence of an intrauterine and an ectopic
pregnancy, regardless of its location. Its occurrence in a
spontaneous cycle is rare. It is a form of the bi-ovular
dizygote twin pregnancy, . It is a serious and rare
pathology that can sometimes involve maternal vital
prognosis. We report the case of a patient who was
treated for a heterotopic pregnancy at the Department
of Gynecology-Obstetrics I, Hassan II University
Hospital of Fez. We reported these clinical and
ultrasound data as well as the therapeutic management.
Metrorrhagia was the main reason for consultation
associated with pelvic pain. The diagnosis of heterotopic
pregnancy was strongly suspected on ultrasound. The
treatment carried out was a radical treatment
(salpingectomy) by a mini-laparotomy with an
aspirativecurtage for the GIU.
Keywords : Spontaneous Heterotopic Pregnancy, Ectopic Pregnancy, Vital Pronostic.