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Case Reports
. 2020 Jun;17(2):146-148.
doi: 10.4274/tjod.galenos.2020.64624. Epub 2020 Jul 29.

Spontaneous unilateral quadruplet tubal ectopic pregnancy

Burak Karadağ  1 , Burcu Aykan Yüksel  1 , Cemil Gürses  2 , Selim Karataş  1
Affiliations
Case Reports

Spontaneous unilateral quadruplet tubal ectopic pregnancy

Burak Karadağ et al. Turk J Obstet Gynecol. 2020 Jun.

Abstract

Ectopic pregnancy (EP) is defined as the implantation of the fertilized ovum outside the uterine cavity. Importantly, the implantation site is tubal in 95% of the cases. Multiple EPs are extremely rare. We present a case of a 25-year-old patient, gravida 2 para 1, with amenorrhea accompanied by the complaints of vaginal bleeding and abdominal pain. She was admitted to the emergency department. Trans-vaginal ultrasound revealed a left ovarian anechoic cyst of 30 mm and four embryos in the right tube with positive cardiac activities. An emergency laparotomy found the rupture of tubal pregnancy on the right side, which ultimately led to hemo-peritoneum. Therefore, we performed right salpingectomy. This is the first well-documented case of a patient with spontaneous unilateral quadruplet tubal EP.

Keywords: Ectopic pregnancy; multiple gestations; quadruplet.

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Conflict of interest statement

Conflict of Interest: We declare that we have no conflict of interest.

Figures

Figure 1
Figure 1
Sonographic appearance of right tubal quadruplet ectopic pregnancy. *indicates the order number of embryos in the tubal gestational sac
Figure 2
Figure 2
Postoperative gross examination of the tubal mass. *indicates the order number of embryos in the postoperative specimen
See this image and copyright information in PMC

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