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Case Reports
. 2014 Nov;22(4):243-6.
doi: 10.1177/1742271X14555565. Epub 2014 Oct 16.

Spontaneous live unilateral twin ectopic pregnancy - A case presentation

Suman Vohra  1 , Shazia Mahsood  1 , Hannah Shelton  2 , Khaled Zaedi  1 , D L Economides  1
Affiliations
Case Reports

Spontaneous live unilateral twin ectopic pregnancy - A case presentation

Suman Vohra et al. Ultrasound. 2014 Nov.

Abstract

The incidence of ectopic pregnancy has increased in recent years and now is around one in 100 pregnancies. However, the incidence of live twin ectopic pregnancy in a spontaneous conception is still quite rare. A 34-year-old gravida 3, para 0 presented in the Early Pregnancy Unit with a positive pregnancy test, lower abdominal pain and vaginal spotting. Her quantitative serum Beta hCG was high, and the transvaginal scan revealed an empty uterine cavity with a twin ectopic pregnancy in the left adnexa with cardiac activity in both embryos. The patient was taken for laparoscopic surgery and a left ampullary twin pregnancy was confirmed. She underwent a left salpingectomy and is well on a one-year follow-up. This case report discusses the incidence, diagnoses and treatment of ectopic pregnancies in general.

Keywords: Twin ectopic pregnancy; early pregnancy; transvaginal ultrasound.

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Figures

Figure 1
Figure 1
The transvaginal ultrasound illustrating evidence of a gestational sac in the left adnexa adjacent to the left ovary. Careful exploration reveals two embryonic poles measuring 1.5 and 1.6 mm, respectively
Figure 2
Figure 2
Colour Doppler shows peritrophoblastic flow around the ectopic
Figure 3
Figure 3
Demonstration of cardiac activity in both embryonic poles on M mode ultrasound, suggesting live twin ectopic gestation
See this image and copyright information in PMC

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References

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