Unilateral tubal twin pregnancy

Krzaniak, S.

doi:10.1136/pgmj.43.496.120

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…The operative findings in this case were striking given the marked distension of the entire length of the gravid fallopian tube, and the lack of tubal rupture. A similar observation has been reported in other cases of twin ectopic pregnancy published earlier . This suggests that tubal distension may not be the main factor causing tubal rupture in ectopic pregnancy.…”

Section: Discussionsupporting

confidence: 90%

“…A similar observation has been reported in other cases of twin ectopic pregnancy published earlier. 13,14 This suggests that tubal distension may not be the main factor causing tubal rupture in ectopic pregnancy. Although a twin pregnancy may be larger, trophoblastic invasion may be less due to an earlier gestation, compared with an equivalently sized singleton pregnancy, therefore it is less likely to rupture.…”

Section: Discussionmentioning

confidence: 99%

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Twin tubal pregnancy: A large unruptured ectopic pregnancy

Goswami

Agrawal

Arora

2015

J of Obstet and Gynaecol

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Twin ectopic pregnancy is a rare occurrence, with an estimated incidence of 1 in 20 000 spontaneous pregnancies. We describe a case of unilateral twin ectopic pregnancy in which the gravid fallopian tube showed no signs of tubal rupture despite marked tubal distension. A 25-year-old woman presented with clinical features suggestive of large right-sided tubal ectopic pregnancy. Serum β-human chorionic gonadotropin was 10 800 IU/mL. Laparotomy revealed markedly distended right fallopian tube. There was no hemoperitoneum. The tube contained twin gestational sacs. The crown-rump length of the embryos was 2 cm. The ectopic gestation was thus unique, in that despite marked tubal distension, the trophoblastic invasion was not significant to cause tubal rupture. There may be a role for medical management based on individual gestational sac size in selected cases of twin tubal pregnancy in which there is no evidence of hemoperitoneum.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Twin tubal pregnancy: A large unruptured ectopic pregnancy

Goswami

Agrawal

Arora

2015

J of Obstet and Gynaecol

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“…A twin tubal pregnancy mass tends to show marked distension of the Fallopian tube without tubal rupture [12,13]. Krzaniak reported a twin tubal ectopic pregnancy mass measuring 10 cm [12]. Laparotomy with right salpingectomy was performed.…”

Section: Discussionmentioning

confidence: 99%

Unusually Large, Unruptured Tubal Ectopic Pregnancy Mass in a Woman With Bilateral Tubal Obstruction Treated by Laparoscopy: A Case Report

Kim

2016

J Med Cases

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A tubal ectopic pregnancy mass usually measures 1.5-3.5 cm, and ruptures if it grows beyond this size. The author encountered a case of an unruptured, tubal ectopic pregnancy mass measuring up to 7.3 cm, containing an embryo with a crown-rump length (CRL) of 2.02 cm, corresponding to 8 weeks, 4 days. To the author's knowledge, this is the largest reported singleton tubal ectopic pregnancy mass. A 36-year-old gravida 0, para 0 woman presented with a history of mild vaginal bleeding, lower abdominal pain, and 8 weeks of amenorrhea. Vaginal bleeding started 3 weeks before, but she mistook this for menstruation. Her menstrual cycle ranged between 28 and 30 days and lasted 6 days. Her last menstrual period was about 8 weeks prior. She had an appendectomy 22 years prior. She was diagnosed with infertility due to tubal obstruction and underwent laparoscopic fimbrioplasty at another general hospital 13 years prior. She was told that her Fallopian tubes were still obstructed on hysterosalpingography after fimbrioplasty. She had not used contraception. On arrival in the emergency room, her serum beta-human chorionic gonadotropin (hCG) level was 15,944 mIU/mL. The transvaginal ultrasound scan (TVUS) demonstrated an ectopic pregnancy mass measuring 7.3 × 4.0 cm in the left adnexa. An embryo with CRL of 2.02 cm corresponding to 8 weeks, 4 days was noted in the ectopic pregnancy mass. Upon entering the pelvic cavity, a dark reddish-colored unruptured tubal ectopic pregnancy mass was noted. Laparoscopic salpingectomy was carried out. The right Fallopian tube was adherent to the right pelvic wall. Even though the Fallopian tubes are obstructed, pregnancy is still possible. Laboratory studies should always include a pregnancy test. A large tubal ectopic pregnancy mass could have developed when a blastocyst was implanted in a fused Fallopian tube that was adherent to the pelvic peritoneum and uterus.

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Unilateral tubal twin pregnancy

Cited by 2 publications

References 10 publications

Twin tubal pregnancy: A large unruptured ectopic pregnancy

Twin tubal pregnancy: A large unruptured ectopic pregnancy

Unusually Large, Unruptured Tubal Ectopic Pregnancy Mass in a Woman With Bilateral Tubal Obstruction Treated by Laparoscopy: A Case Report

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