Spontaneous twin tubal ectopic gestation

Hois, Erin L.; Hibbeln, John F.; Sclamberg, Joy S.

doi:10.1002/jcu.20224

Cited by 10 publications

(11 citation statements)

References 7 publications

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“…4 As a general rule, anything that impedes the progression of the ovum through the fallopian tube raises the risk of EP. 7 The most common location for an EP is the fallopian tube as seen in our case. The risk factors for EP are the same in singleton and multiple gestations.…”

Section: Discussionmentioning

confidence: 60%

Live Monochorionic Adnexal Twin Ectopic Pregnancy

Samardzic

Kasales

Patrone

2014

Ultrasound Quarterly

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Section: Discussionmentioning

confidence: 60%

Live Monochorionic Adnexal Twin Ectopic Pregnancy

Samardzic

Kasales

Patrone

2014

Ultrasound Quarterly

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“…administration of methotrexate, has been described. 9,10 Furthermore, modern infertility therapies, which are associated with greater risks of multiple and ectopic gestations, will probably elevate the overall incidence of multiple ectopic gestations. Thus, in an in vitro fertilization embryo transfer program, a rate of 1 twin per 25 extrauterine pregnancies (4.0%) was seen.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Unilateral Twin Ectopic Pregnancy with Fetal Heart Beats in a Patient With a Single Episode of Chlamydia trachomatis

Akinbiyi

Schweitzer

2007

Journal of Gynecologic Surgery

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Background: Spontaneous unilateral twin ectopic pregnancy is a rare occurrence worldwide, despite the overall increased incidence of ectopic pregnancy as a result of artificial reproductive technology. There are several factors that have led to the overall increase of ectopic pregnancy in many parts of the developed countries. In this paper, we present a case of spontaneous unilateral twin ectopic pregnancy with documented fetal hearts in a woman with a family history of twins and a single documented episode of Chlamydia trachomatis infection. Introduction: A 23-year-old G3P2, presented with an 8-week history of amenorrhea, lower abdominal pain, watery vaginal discharge, and vaginal spotting. During this hospitalization, her serum ␤-HCG testing was 21,000 mIU/mL and a transvaginal ultrasonographic examination suggested a nonviable unilateral twin ectopic pregnancy. Two separate fetal hearts were identified. During laparoscopy, a 10 cm mass involving the right fallopian tube was excised. Pathologic evaluation of the specimen identified one gestational sac, but the second sac was not positively identified because the sacs were crushed following the removal via an endo catch bag or inadequate number of sections by the pathologist; but definite chorionic villi were seen. Conclusions: Mortality and morbidity associated with spontaneous unilateral twin ectopic pregnancy in the fallopian tube could be reduced by prompt diagnosis and management. The resulting distortion caused by acute and chronic pelvic inflammatory diseases is the leading cause of ectopic pregnancy. (J GYNECOL SURG 23:147)

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“…Twin ectopic pregnancy is rare, with about a hundred cases described worldwide 1 and an estimated incidence of 1 in 200 of all ectopic pregnancies 2 . The incidence of ectopic pregnancy has increased from 0.37% of pregnancies in 1948 to approximately 2% of all pregnancies in 1992 4 .…”

Section: Introductionmentioning

confidence: 99%