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Well, that's news to me. I have no other ideas then besides "it might be bugged", which isn't especialyl helpful.
Yes, a secret pop's up when you get it, if you're not awarded an achievement at the same time you may be having the same problem as I had.
I was playing as Isaac and had an Eternal Heart when I reached Utero 2, I gained the Health Up and a pop-up appeared saying "Eternal Life!". Isaac then became completely white and seems to have gained flight, since he now has wings...
Here's[www.dropbox.com] a picture, I didn't exactly caught the secret itself showing, but this is how Isaac looked after gaining the Health Up from the Eternal Heart.
Edit: This should be the secret[www.dropbox.com] that pops-up when unlocking the achievement. I had to reset the game to get the achievement, though.