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Objective: Heterotopic pregnancy is a condition in which extrauterine and intrauterine pregnancy coincides. It is encountered very rarely especially in the absence of risk factors. The incidence of heterotopic pregnancy has increased in recent years due to the developments in assisted reproductive technologies (ART). In this case report, we aimed to emphasize the early diagnosis and proper management of heterotopic pregnancies with its mortality and morbidity rates and importance for future fertility. Case: Seven-weeks pregnant women by the date of her last menstrual period had undergone dilatation and curettage (D&C) in another medical center upon the diagnosis of a missed abortus. She applied to the same center after the procedure with the complaint of groin pain and was referred to our tertiary center because of the plateaud β-hCG levels during her follow-up. Her gynecologic and ultrasonographic examination in our clinic suggested an extrauterine pregnancy and the patient underwent a laparoscopy. A tubal ectopic pregnancy was detected at the right tube and a linear salpingotomy was performed. Heterotopic pregnancy diagnosis was confirmed with the pathological examination reports of the samples obtained in D&C and laparoscopy. Conclusion: The heterotopic pregnancy diagnosis should be kept in mind in the differential diagnosis of women who applied with the complaint of abdominal pain in the first trimester of pregnancy especially in pregnancies occurring after ART and should be managed appropriately on time [ABSTRACT FROM AUTHOR]

Objective: Multiple pterygium syndrome (MPS) covers a disorders characterized by multiple congenital anomalies typified by pterygia of the neck, elbows, and knees and associated with limited fetal movement and joint contractures. The lethal forms of this condition frequently exhibit multiple fetal abnormalities. We aimed to discuss a recurrent MPS case with the patient' s pedigree, ultrasonographic and postmortem findings. Case: We are presenting a 29-year-old, gravida 5 para 4 woman with a diagnosis of recurrent MPS whose pregnancy was terminated on her 20th gestational week. Conclusion: MPS is found to be a rare cause of recurrent midtrimester pregnancy losses in which the inheritance may be autosomal or Xlinked recessive. Genetic counseling and pedigree analysis are the important steps in the evaluation of recurrent MPS subjects. Although researches for the understanding of the underlying mechanisms of this syndrome are promising, obstetric ultrasound is still the gold standard diagnostic technique [ABSTRACT FROM AUTHOR]