The patient's history and physical, laboratory results, and ultrasound findings of second gestational sac in the right adnexa, likely presenting ectopic pregnancy within the fallopian tube, concerning for heterotopic pregnancy.

The patient had a diagnostic laparoscopy, right salpingectomy and removal of ectopic pregnancy. Removed fallopian tube segment was sent for a further analysis. Pathology report showed identifiable fragmented fetal fragments.

Case co-author: Edwin Wang, MD, Diagnostic Radiology Department