Spontaneous angular dichorionic diamniotic twin pregnancy: a case report

Papiccio, Maria; Boschi, Anna Chiara; Ferrara, Filippo; Missiroli, Stefano; Zagonari, Sara; Paganotto, M.; Comerci, Giuseppe

doi:10.1016/j.fertnstert.2021.09.003

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…With ultrasound, we can visualize two gestational sac with or without separating membrane, or fetal cardiac activity. 6,[17][18][19][20][21] In difficult cases, we can use MRI to diagnose twin ectopic pregnancy. 22 Management of the twin ectopic pregnancy is similar to the singleton ectopic pregnancy and depends on the site of implantation.…”

Section: Discussionmentioning

confidence: 99%

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Unilateral Twin Ectopic Pregnancy: A Case Report from the Eastern Part of Ethiopia, Harar

Gure¹

2022

IMCRJ

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Twin ectopic pregnancy is the implantation of both embryos outside of the endometrial lining occurring in 1 in 20,000 up to 1 in 125,000 pregnancies. Commonly, twin ectopic pregnancies occur inside the fallopian tube either unilateral or bilateral. Unless early diagnosis and interventions are made, it may rupture causing intraperitoneal bleeding with a high risk of maternal death. Case Report: I am reporting a rare type of ectopic pregnancy: unilateral twin ectopic pregnancy with positive cardiac activity on the left side of the fallopian tube in a 30 years old gravida III para II mother. Left side salpingectomy was done for her and discharged from the hospital after two postoperative days. Conclusion: Twin ectopic pregnancy with a live embryo is a very rare type of pregnancy that needs a high index of suspicion to diagnose and treat early to prevent complications and maternal death.

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Section: Discussionmentioning

confidence: 99%

“…Currently, arterial embolization is also used for twin ectopic pregnancy and found to be effective. 3,16,17,19,[23][24][25] In this case, laparotomy was done since there is no laparoscopy in the area and medical was not preferred since there was cardiac activity and poor adherence to it.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Twin Ectopic Pregnancy: A Case Report from the Eastern Part of Ethiopia, Harar

Gure¹

2022

IMCRJ

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“…Considering the risk of spontaneous abortion, uterine rupture, and maternal death, so much so that some clinicians will recommend termination of pregnancy at an early stage (8)(9)(10)(11)(12). Patients with infertility spend considerable time and money on ART.…”

Section: Introductionmentioning

confidence: 99%

Expectant treatment for angular pregnancy after assisted reproduction technology: a safe and patient-friendly treatment strategy

Yang,

Shen,

et al. 2023

Front. Med.

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IntroductionCurrently, the treatment strategies for angular pregnancy in the first trimester after assisted reproduction technology (ART) are unclear. Improper treatment will cause unnecessary losses to patients, especially infertile patients, after ART. The purpose of this study was to clarify the pregnancy outcomes of expectant treatment for angular pregnancy post-ART and to provide a basis for the formulation of clinical treatment strategies.MethodThis retrospective case series study was performed at the Reproductive Medicine Center of a university hospital. Maternal data and pregnancy outcomes were collected and analyzed for all patients diagnosed with angular pregnancies after ART between January 2016 and August 2021. The outcomes included live birth, term birth, premature birth, early pregnancy loss, fetal death, placental abruption, uterine rupture, maternal death, and hysterectomy.ResultsA total of 78 patients were analyzed in this study, of whom 54 (69.2%) had live births, 44 (56.4%) had term births, 21 (26.9%) had an early pregnancy loss, 1 (1.3%) had mid-trimester missed abortion, 1 (1.3%) underwent mid-trimester labor induction due to fetal malformation, and 1 (1.3%) underwent uterine rupture. There were no cases of maternal death, placental abruption, or hysterectomies.DiscussionAngular pregnancy after ART is not as dangerous as that described in previous studies; most cases could be treated expectantly under close-interval follow-up and obtain live birth.

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“…Angular pregnancy is an eccentric intrauterine pregnancy with embryo implantation in the lateral superior angle of the uterine cavity 6 . In the study by Jansen and Elliott, angular pregnancy is defined as implantation of the embryo just medial to the uterotubal junction, in the lateral angel of the uterine cavity, and angular pregnancy is distinguished from interstitial pregnancy by the position of the gestational sac in relation to the round ligament 7 .…”

Section: Introductionmentioning

confidence: 99%

Number of embryos transferred could possibly be associated with angular pregnancy in in vitro fertilization‐embryo transfer

Chen,

Shao,

Liu

et al. 2023

Intl J Gynecology & Obste

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ObjectiveThe probability of embryo implantation in an abnormal location is significantly higher in assisted reproductive technology (ART) than in natural pregnancies. Angular pregnancy is an eccentric intrauterine pregnancy with embryo implantation in the lateral superior angle of the uterine cavity. Cycle‐level factors associated with angular pregnancy in patients conceived with ART needed to be explored.MethodsA total of 11 336 clinical pregnancies cycles were included. Angular pregnancy rate was compared among groups according to the type of embryos transferred. Among them, 53 cases of angular pregnancy and 159 cases of normal intrauterine pregnancy were screened out using propensity score matching. Risk factors of angular pregnancy were explored.ResultsThe angular pregnancy rate was 0.31% (14/4572) in the day 5 blastocyst transfer group, 0.58% (39/6764) in non‐day 5 embryo transfer group, with 0.55% (29/5280) in day 3 embryo transfer and 0.67% (10/1484) in the day 6 blastocyst group, respectively. A multifactor regression analysis was performed and indicated that the number of embryos transferred was significantly associated with angular pregnancy (P = 0.031, OR, 2.23, 95% CI: 1.09–4.68).ConclusionMultiple embryo transfer could possibly be associated with an increased incidence of angular pregnancy in patients conceived with ART.

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Spontaneous angular dichorionic diamniotic twin pregnancy: a case report

Cited by 4 publications

References 11 publications

Unilateral Twin Ectopic Pregnancy: A Case Report from the Eastern Part of Ethiopia, Harar

Unilateral Twin Ectopic Pregnancy: A Case Report from the Eastern Part of Ethiopia, Harar

Expectant treatment for angular pregnancy after assisted reproduction technology: a safe and patient-friendly treatment strategy

Number of embryos transferred could possibly be associated with angular pregnancy in in vitro fertilization‐embryo transfer

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