Heterotopic pregnancy, often known as HP for short, is a circumstance in which a fetus is developing in both the uterus and outside of it simultaneously. The spontaneous occurrence of HP has an incidence rate of roughly 1 in 30,000. A 40-year-old lady with intrauterine gestational trophoblastic neoplasia (GTN) and a ruptured tubal ectopic pregnancy presented to a secondary care hospital in a remote region with the unique complication of spontaneous hypertension (HP). She also had an ectopic pregnancy that had ruptured. A positive test for an intrauterine pregnancy does not rule out the potential of an ectopic pregnancy, as demonstrated by this case study. Also, HP can arise when there are no evident risk factors, such as in this case. Never lose sight of the fact that the possibility of developing HP exists for any woman who is of childbearing age. The patient was lucky that the bleeding had stopped on its own when she presented to the researchers, even though she had a ruptured tubal ectopic that had caused an infection. Given that HP can take place with or without the presence of predisposing risk factors, it is crucial that all treating physicians, especially primary care physicians, maintain a high index of suspicion to guarantee accurate early diagnosis and treatment.
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