Spontaneous heterotopic triplet pregnancy: rare case report

Heterotopic pregnancy, simultaneous occurrence of both intra uterine and extra uterine pregnancy is on rise because of assisted reproductive technology and widespread usage of first trimester USG. However such pregnancies are rare following spontaneous occurrence. High degree of clinical suspicion is essential in such spontaneous conceptions to diagnose it in early pregnancy to maximize the outcome for intra uterine pregnancy. Here we are presenting a case of simultaneous occurrence of twin intrauterine pregnancy and co existing tubal abortion with good perinatal outcome from a remote area.