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Unilateral twin tubal ectopic pregnancy in a patient following tubal surgery.

Ghanbarzadeh N, Nadjafi-Semnani M, Nadjafi-Semnani A, Nadjfai-Semnani F, Shahabinejad S - J Res Med Sci (2015)

Bottom Line: Transvaginal ultrasound showed one pregnancy sac containing two fetal poles with cardiac activity, which appeared to be sited within the right adnexum.The right tubal EP was removed by salpingectomy.Ultrasound findings of suspected adnexal mass and free liquid in the Douglas pouch along with an increased a beta-human chorionic gonadotrophin levels, especially in association of risk factors, can help the early diagnosis of EP and reduce the related mortality and morbidity.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Obstetrics, Birjand University of Medical Sciences, Birjand, Iran.

ABSTRACT
We report a spontaneous unilateral live tubal twin pregnancy in a patient with a history of previous ectopic pregnancy (EP) and tubal surgery. Transvaginal ultrasound showed one pregnancy sac containing two fetal poles with cardiac activity, which appeared to be sited within the right adnexum. The right tubal EP was removed by salpingectomy. Ultrasound findings of suspected adnexal mass and free liquid in the Douglas pouch along with an increased a beta-human chorionic gonadotrophin levels, especially in association of risk factors, can help the early diagnosis of EP and reduce the related mortality and morbidity.

No MeSH data available.


Related in: MedlinePlus

Ultrasound evaluation of the patient
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Figure 1: Ultrasound evaluation of the patient

Mentions: Transvaginal ultrasound scan showed no evidence of intrauterine pregnancy with an empty uterus filled with fluid. There was a 23-mm cyst on the left ovary. Free fluid was found in the pouch of Douglas. There was one pregnancy sac, which appeared to be sited within the right adnexum. The sac contained two fetal poles, each showing cardiac activity. The conjoined twins with crown-rump length, one with 16-mm (8-week gestation) and the other 17-mm (8-week gestation) was observed. These findings were compatible with monochorionic monoamniotic live twin EP in the right fallopian tube [Figure 1].


Unilateral twin tubal ectopic pregnancy in a patient following tubal surgery.

Ghanbarzadeh N, Nadjafi-Semnani M, Nadjafi-Semnani A, Nadjfai-Semnani F, Shahabinejad S - J Res Med Sci (2015)

Ultrasound evaluation of the patient
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4400717&req=5

Figure 1: Ultrasound evaluation of the patient
Mentions: Transvaginal ultrasound scan showed no evidence of intrauterine pregnancy with an empty uterus filled with fluid. There was a 23-mm cyst on the left ovary. Free fluid was found in the pouch of Douglas. There was one pregnancy sac, which appeared to be sited within the right adnexum. The sac contained two fetal poles, each showing cardiac activity. The conjoined twins with crown-rump length, one with 16-mm (8-week gestation) and the other 17-mm (8-week gestation) was observed. These findings were compatible with monochorionic monoamniotic live twin EP in the right fallopian tube [Figure 1].

Bottom Line: Transvaginal ultrasound showed one pregnancy sac containing two fetal poles with cardiac activity, which appeared to be sited within the right adnexum.The right tubal EP was removed by salpingectomy.Ultrasound findings of suspected adnexal mass and free liquid in the Douglas pouch along with an increased a beta-human chorionic gonadotrophin levels, especially in association of risk factors, can help the early diagnosis of EP and reduce the related mortality and morbidity.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Obstetrics, Birjand University of Medical Sciences, Birjand, Iran.

ABSTRACT
We report a spontaneous unilateral live tubal twin pregnancy in a patient with a history of previous ectopic pregnancy (EP) and tubal surgery. Transvaginal ultrasound showed one pregnancy sac containing two fetal poles with cardiac activity, which appeared to be sited within the right adnexum. The right tubal EP was removed by salpingectomy. Ultrasound findings of suspected adnexal mass and free liquid in the Douglas pouch along with an increased a beta-human chorionic gonadotrophin levels, especially in association of risk factors, can help the early diagnosis of EP and reduce the related mortality and morbidity.

No MeSH data available.


Related in: MedlinePlus