The presence of a combined intrauterine and ectopic pregnancy is known as a heterotopic pregnancy. It is an extremely rare, life-threatening and potentially fatal condition. It is usually a consequence of modern reproductive medical technology. Early diagnosis and appropriate management of heterotopic pregnancy can improve the intrauterine pregnancy outcome. The preferred method of treating a heterotopic pregnancy is laparoscopic surgery in order to preserve and protect the viable coexisting intrauterine pregnancy.