Early detection of a twin tubal pregnancy by Doppler sonography allows fertility-conserving laparoscopic surgery

Summa, Birte; Meinhold‐Heerlein, Ivo; Bauerschlag, Dirk; Jonat, W.; Mettler, Liselotte; Schollmeyer, Thoralf

doi:10.1007/s00404-008-0648-x

Cited by 11 publications

(11 citation statements)

References 13 publications

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“…Ectopic pregnancies account for 1% of all pregnancies, represent a major health risk for women of childbearing capacity and can result in life-threatening complications if not treated properly. 6,7 The classic clinical triad of ectopic pregnancy is pain, amenorrhea and vaginal bleeding. 8 The incidence of ectopic pregnancies has been increasing since the 1970s.…”

Section: Discussionmentioning

confidence: 99%

“…8 Currently, there are approximately 100 published cases in the literature diagnosed pre-operatively and only eight diagnosed cases with documented foetal cardiac activity in a live twin gestation. 6,7,[10][11][12] A unilateral twin ectopic pregnancy is a rare occurrence which was first described in 1891 by De Ott. Furthermore, a bilateral tubal pregnancy is the rarest form of double-ovum twin pregnancy.…”

Section: Discussionmentioning

confidence: 99%

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Monochorionic monoamniotic live twin ectopic pregnancy: a rarity

Dhama

Gupta

2020

Int J Reprod Contracept Obstet Gynecol

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The incidence of unilateral live twin ectopic pregnancy is approximately 1:1,25,000 but increased in last few decades due to increased use of fertility drugs for ovulation induction, superovulation and assisted reproductive technology. It is also associated with increased incidence of pelvic inflammatory diseases. Patient was 30 years old G3P2L2 who presented to OPD of this LLRM medical college, Meerut with complain of amenorrhoea of two and half months. Pelvic examination revealed tenderness in lower abdomen, left adnexal fullness and tenderness without any bleeding. On USG, left adnexal monochorionic monoamniotic ectopic twins with normal cardiac activity. Exploratory laparotomy followed by left sided salpingectomy was done and patient was discharged with satisfactory condition. This is a very rare case and PID is also among risk factors and may also cause twin ectopic pregnancy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Monochorionic monoamniotic live twin ectopic pregnancy: a rarity

Dhama

Gupta

2020

Int J Reprod Contracept Obstet Gynecol

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“…6,7 Currently, there are approximately 100 cases published in the literature diagnosing unilateral twin ectopic pregnancies preoperatively and only 13 diagnosed cases which have documented fetal heart motion in live twin gestation. 4,13 Medical management of ectopic pregnancies includes the use of methotrexate. This was first utilized by Tanaka et al to treat an interstitial pregnancy in 1982 and has since become a popular outpatient treatment.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Unilateral Tubal Twin Ectopic Pregnancy: A Case-Based Discussion and Assessment

Vallabh-Patel¹,

Martell²,

Plavsic³

2011

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Introduction: Two percent of all 1st trimester pregnancies in the United States are ectopic. Transvaginal ultrasound is considered the mainstay in diagnosis. Color Doppler ultrasound can prove to be an added helpful modality in identifying ectopic pregnancies.Case report: An 18-year-old nulliparous female presented with vaginal bleeding and lower abdominal pain. Pelvic exam revealed tenderness in the right adnexal region with elevated quantitative serum beta-hCG. A transvaginal ultrasound showed an echogenic ring adjacent to the right ovary and M-mode and color Doppler revealed two fetal heart tones. Color Doppler enabled visualization of randomly dispersed tubal arteries and heart activity of both embryos. A right salpingectomy was performed without complications and beta hCG levels returned to undetectable levels.Conclusion: B mode ultrasound is a vital diagnostic tool in the detection of ectopic pregnancy. Color Doppler provides both morphologic and functional information essential for determining the optimal therapeutic strategy. Three-dimensional ultrasound with color and/or power Doppler has proven useful in both the initial diagnosis and follow-up of ectopic pregnancies especially in patients following assisted reproduction treatment.

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“…More than 100 twin tubal pregnancies have been reported, but 13 cases with cardiac activities demonstrated in both fetuses have been diagnosed [3]. The first case of live twin-ectopic pregnancy was described in 1994 [4].…”

Section: Discussionmentioning

confidence: 99%