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Heterotopic pregnancy is the rare coexistance of intrauterine and extrauterine gestation. The incidence may be as high as 1 in 3,889 pregnancies. The diagnosis is difficult to make, but an important one to consider in the presence of acute abdominal pain, hemorrhagic shock, and intrauterine pregnancy.Case report. Results: Successful treatment of ectopic pregnancy with benign convalescence and viable intrauterine pregnancy delivered at term. Conclusions: Every clinician treating women of reproductive age should keep this diagnosis in their differential, especially for pregnant women presenting with abdominal pain and hemoperitoneum.