Newborns transitioning into extrauterine life will undergo periods of reactivity. ART carries with it a risk for heterotopic pregnancy (simultaneous intrauterine and extrauterine pregnancy). Adenocarcinoma can arise from the endocervix, endometrium and extrauterine sites. The mortality rate for the extrauterine pregnancy is approximately 35%. High grade adenosarcomas tend to have extrauterine spread and rapid recurrence . Extrauterine adenomyoma with uterus-like features. Extrauterine pregnancies are non-viable and can be fatal to the mother if left untreated.