Ectopic pregnancy is one of the most frequent and serious complications when using assisted reproductive technologies (ART). Difficulties in diagnosing ectopic pregnancy after ART are explained by atypical localization and ambiguous clinical picture. To analyze the clinical case of management and delivery of a pregnant woman words with twins when one of the fetuses is located in rudimentary horn. The retrospective analysis of anamnestic data, results of clinical and instrumental studies pregnant based on the exchange card of the pregnant woman and new mothers, birth history of the perinatal center of Tyumen. The clinical case of atypical placement of the fetus in the rudimentary horn in multiple pregnancies after ART is a fairly rare complication of the gestational period. Difficulties with timely diagnosis were associated with the lack of clear imaging during ultrasound examination. A timely diagnosis, in the current emergency situation, allowed the pregnancy to end favorably, both for the mother and for the fetus.
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