Spontaneous unilateral dizygotic twin tubal pregnancy

Tam, Teresa; Khazaei, Ali

doi:10.1002/jcu.20495

Cited by 11 publications

(3 citation statements)

References 6 publications

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“…Such an event might be life-threatening for the patient if it is not treated on time and the patient can present with syncope and signs of shock includes tachycardia, pallor, and collapse. There may be abdominal distension and marked tenderness [3]. Although the incidence of ectopic pregnancy is only 1% of total pregnancies that have been reported, it is considered to be a major hazard for maternal health [4].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach

Madaan¹,

Jaiswal²,

Banode³

et al. 2021

Cureus

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Ectopic pregnancy has emerged as an alarming problem for obstetricians worldwide. Live twin ectopic conception is rare to occur, and spontaneously conceived twin ectopic pregnancy is even more infrequent. A 32-years-old gravida 3, para 1, live 1, abortion 2, presented with a confirmation of pregnancy on a urinary pregnancy test kit along with pain in the right iliac fossa. Blood investigations revealed raised serum beta-human chorionic gonadotropin hormone. Transvaginal ultrasonography revealed twin ectopic conception in the right fallopian tube with both the embryos showing cardiac activity and no evidence of intrauterine gestational sac. The patient was managed with methotrexate-mediated ultrasound-guided fetal reduction and is doing well on follow-up presently. Hence, our case report highlights the importance of prompt diagnosis and management of twin ectopic pregnancies with the help of newly evolving interventional radiology procedures.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach

Madaan¹,

Jaiswal²,

Banode³

et al. 2021

Cureus

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“…It is reported that the incidence of tubal rupture in was about 32% and the risk of rupture rises about 2.5% for every 24 h period when untreated [19]. Until date, the surgical approach is the most reported option in literature to treat the unilateral tubal twin pregnancies [20]. There have been 4 cases of tubal twin pregnancies (3 unilateral, 1 bilateral) that methotrexate treatment has been tried [21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Unsual Tubal Twin Ectopic Gestation Report of Three Different Cases

Maheshgir¹

2018

J Clin Cases Rep

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Gestation outside the uterine cavity in which the implantation occurs in any tissue other than the endometrium is referred as ectopic pregnancy. The most places for occurring ectopic pregnancy (97% of cases) are the fallopian tubes including ampulla (55%), isthmus (25%), and fimbria (17%), and in 3% of patient’s ectopic pregnancy occurs in the abdominal cavity, ovary, or cervix. The tubal twin ectopic pregnancy is a rare condition, and the first unilateral tubal twin was reported by De Ott in 1891, and the first live twin tubal ectopic pregnancy was reported in 1944. A live tubal twin ectopic pregnancy is a very rare condition and among >100 reports of tubal twin pregnancies, till now, only 8 cases were live. Early diagnosis and treatment of women with tubal twin ectopic pregnancy is very important and may decrease the risk of tubal rupture. I present three cases of tubal twin ectopic gestation. In the first case, spontaneous unilateral live tubal twin ectopic gestation. The second and third cases spontaneous ruptured twin ectopic gestation. All three cases were successfully managed and there was no history of assisted reproductive techninique fertilization or pelvic inflammatory disease.

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“…Salpingostomy is preferred, particularly for women who wish to preserve their fertility. Twin ectopic pregnancy is usually treated surgically (9,16). When laparoscopic management is feasible, it is the preferred modality (17).…”

Section: Discussionmentioning

confidence: 99%

Unilateral canlı ikiz ektopik gebelik: olgu sunumu

Ergen

Boza

Şentürk³

et al. 2015

ZKTB

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Introduction: Twin ectopic pregnancy is a rare condition with an incidence of 1 in every 200 ectopic pregnancies. We present a case of a twin, live, unilateral tubal ectopic pregnancy treated with laparoscopic salpingectomy.Case: A 42-year-old nulliparous woman was admitted to our clinic with a complaint of vaginal bleeding and pelvic pain. Her serum ß-human chorionic gonadotropin (ß-hCG) level was 4500 mIU/ mL and transvaginal ultrasound revealed live tubal twin pregnancy of 7 weeks' gestation. A laparoscopic salphingostomy was planned but salpingectomy was performed since active bleeding was noticed from tube during the operation. None complication was not occured after operation. Patient is discharged one day after operation. Conclusion:Viable twin ectopic pregnancy with is a rare condition. If not treated properly, it can lead to life-threatening complications.

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Spontaneous unilateral dizygotic twin tubal pregnancy

Cited by 11 publications

References 6 publications

Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach

Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach

Unsual Tubal Twin Ectopic Gestation Report of Three Different Cases

Unilateral canlı ikiz ektopik gebelik: olgu sunumu

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