PMC6713962_01
The patient's transvaginal ultrasound showing heterotopic pregnancy: (a) left ectopic pregnancy and (b) intrauterine pregnancy.
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PMC6713962_01_10.1177_2050313X19873794-fig1.jpg
fig1-2050313X19873794
Meanwhile, another gestational sac was discovered and was identified as an ectopic pregnancy at the left iliac fossa with a CRL of 7 weeks and surprisingly a positive heart pulsation as well (Figure 1) along with moderate free fluid collection that was suspected to be blood in the Douglas pouch caused by the rupture of the ectopic gestational sac which was found to be in the left adnexa intraoperatively.