# Spontaneously Conceived Ruptured Heterotopic Pregnancy Presenting with Chest Pain and Dyspnea: A Case Report

## TL;DR

A rare case of a ruptured heterotopic pregnancy presented with chest pain and shortness of breath instead of typical symptoms.

## Contribution

Reports a rare case of heterotopic pregnancy without risk factors and atypical presentation.

## Key findings

- Heterotopic pregnancy occurred without known risk factors.
- The patient presented with chest pain and dyspnea rather than typical symptoms.
- This case highlights the need for awareness of atypical presentations of heterotopic pregnancy.

## Abstract

Heterotopic pregnancy, defined as simultaneous intrauterine and ectopic pregnancy, is a rare and potentially life-threatening condition. The incidence of heterotopic pregnancy has significantly increased in the modern era, primarily due to use of assisted reproductive technology. Heterotopic pregnancy in the absence of risk factors is uncommon. The symptoms of heterotopic pregnancy are similar to those of ectopic pregnancy, primarily abdominal pain and vaginal bleeding.

We report a case of heterotopic pregnancy occurring in the absence of risk factors and presenting with primary symptoms of chest pain and shortness of breath.

While uncommon, heterotopic pregnancy may occur in patients without risk factors and may present with atypical symptoms such as chest pain and shortness of breath.