Transvaginal ultrasound diagnosis of a live twin tubal ectopic pregnancy

Abstract

A case of live twin tubal ectopic pregnancy diagnosed by transvaginal ultrasound is presented. This is a rare occurrence and we have calculated the incidence to be approximately 1:125,000 pregnancies. There have been more than 100 case reports of twin tubal ectopic pregnancy but only four previous reports where two foetal heart motions have been visualized. The introduction of high-resolution transvaginal ultrasound has resulted in earlier diagnosis of ectopic pregnancy and contributed to the decrease in morbidity that has occurred over recent years.

Combined Tubal And Ovarian Ectopic Pregnancies In One Patient After In Vitro Fertilization = İn Vitro Fertilizasyondan Sonra Aynı Hastada Kombine Tübal ve Ovaryan Ektopik Gebelikler

“…Twin ectopic pregnancy rate is much less than single ectopic pregnancy. The most common form is twin tubal gestations (7,8). Ovarian (11)., interstitial (12).…”

“…Since then, about 250 twin ectopic pregnancies have been reported (5)(6)(7)(8)(9). Primary ovarian pregnancy as a component of twin ectopic pregnancy is very rare.…”

Unilateral Live Tubal Twin Ectopic Pregnancy

“…It was, first described in 1891 by De Ott [1]. Unilateral live twin ectopic pregnancies are even rarer and occur at a frequency of 1 in 125,000 [2]. We present a case of twin ectopic pregnancy in the left fallopian tube with both live embryos.…”

Live twin ectopic pregnancy with a high βhCG value in a woman with a poor obstetric history

“…The incidence of live twin tubal pregnancy is reported as 1 in 125,000 pregnancies with only 8 reported cases of fetal cardiac activity (1,3) found in the English literature. Quantitative βhCG and ultrasound has revolutionised early diagnosis and outcome.…”