article = {SCR-2022-5-102} title = {Viable Heterotopic Pregnancy in a 41-Year-Old Woman with Spontaneous Conception and a History of Ectopic Pregnancy: An Unusual Case Complicated by Postoperative Ileus} journal = {Surgical Case Reports} year = {2022} issn = {2613-5965} doi = {http://dx.doi.org/10.31487/j.SCR.2022.05.02} url = {https://www.sciencerepository.org/viable-heterotopic-pregnancy_SCR-2022-5-102 author = {Bazoukis Xenophon,Nancy Lepoura,Elena Hatziangeli,Savvas Argyridis,} keywords = {Heterotopic pregnancy, ectopic pregnancy, postoperative ileus} abstract ={Heterotopic pregnancy is defined by the coexistence of intrauterine and ectopic pregnancy. In our case report, a 41-year-old woman with a positive pregnancy test visited our hospital outpatient department for the first time. She was diagnosed with a viable heterotopic pregnancy, for which she underwent laparotomy and uterine curettage. Our clinical case has a prevalence of one in every 30.000 pregnancies, since it was a spontaneous conception and there was no family history of multiple pregnancies. Risk factors were medical history of a previous ectopic pregnancy, pelvic operations and her age being over forty. Despite her good recovery from the first operation, she underwent a second laparotomy with the aim to treat an obstructive ileus due to adhesions.}