Citation: Lubabatu Abdulrasheed, Tensaba Andes Akafa, Shafa’atu Ismail Sada Josiah Yakubu, Kingsley Iyoko Iseko. Two Lives, One Journey: Spontaneous Resolution of Heterotopic Pregnancy. Frontline Professionals Journal, 1(1), 161–167.

Abstract
Background: Heterotopic pregnancy, characterized by the presence of both intrauterine and extrauterine gestations, is a rare and potentially life-threatening condition that poses significant diagnostic challenges.
Methodology: We report the case of a 29-year-old woman, G4P2+1, who presented at 9 weeks of gestation with vaginal bleeding, passage of clots, and abdominal pain. Initial evaluation revealed a viable intrauterine embryo and a left adnexal anembryonic gestational sac. Due to the rarity and risks associated with this condition, the patient was managed conservatively with weekly antenatal visits, including serial ultrasounds, urine, and blood tests.
Results: By 14 weeks, ultrasound findings confirmed a viable second-trimester pregnancy and indicated the resolution of the ectopic component. The pregnancy continued uneventfully to 37 weeks, culminating in an elective cesarean section and the delivery of a healthy female neonate with good APGAR scores. Postoperative recovery was satisfactory, and the patient was discharged after five days.
Conclusion: This case highlights the possibility of spontaneous resolution in heterotopic pregnancy, emphasizing the importance of careful monitoring and a high index of suspicion in women presenting with abdominal pain during early gestation.
Keywords: Obstetrics; Heterotopic pregnancy; Conservative management; Diagnostic challenges; Spontaneous resolution