Utility of MRI in Management of a Rare Case of Unilateral Dichorionic-Diamniotic Twin Tubal Ectopic Pregnancy

Nepal, Pankaj; Ojili, Vijayanadh; Lu, Song; Nagar, Arpit

doi:10.1067/j.cpradiol.2019.06.001

Cited by 2 publications

(5 citation statements)

References 16 publications

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“…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. These can be medical or surgical treatments.…”

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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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%

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

Gure¹

2022

IMCRJ

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“…Ectopic pregnancy (EP) represents about 2% of all pregnancies and is more frequently seen in patients with a history of in vitro fertilization and history of pelvic inflammatory disease [17]. Approximately 95% of ectopic pregnancies are located in the fallopian tubes, and the rest < 5% are in ovarian, cervical, or abdominal sites [17]. Transvaginal ultrasound is the imaging modality of choice.…”

Section: Ectopic Pregnancymentioning

confidence: 99%

“…However, it is subjected to a limited field of view, especially in patients with severe pain and large body habitus, the dependence on operator skills and experience, and sometimes it may fail to reveal critical diagnoses. MRI is generally reserved for further evaluation of rare and complicated forms of EPs [17]. The use of MRI must always be tailored individually and should not delay the decision-making in critical cases.…”

Section: Ectopic Pregnancymentioning

confidence: 99%

“…MRI can confirm abdominal pregnancy, as well as determine placental adherence to adjacent viscera. It can also assess the extent of placental invasion in cervical EP, or EP occurring within the cesarean section scar [5,17]. MRI can be used to confirm the diagnosis of heterotopic pregnancy with simultaneous visualization of an intrauterine gestational sac and EP [5,17].…”

Section: Ectopic Pregnancymentioning

confidence: 99%

“…It can also assess the extent of placental invasion in cervical EP, or EP occurring within the cesarean section scar [5,17]. MRI can be used to confirm the diagnosis of heterotopic pregnancy with simultaneous visualization of an intrauterine gestational sac and EP [5,17]. MR imaging features of EP include a cystic mass surrounded by low signal hematoma on T2-weighted imaging.…”

Section: Ectopic Pregnancymentioning

confidence: 99%

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Problem-solving with MRI in acute abdominopelvic conditions, part 2: gynecological, obstetric, vascular, and renal diseases

et al. 2021

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The purpose of this article is to illustrate the benefits of magnetic resonance imaging (MRI) in the setting of abdominopelvic emergencies. Owing to intrinsically high soft-tissue contrast resolution, and ability to resolve different soft tissue, MRI holds notable advantages over other imaging modalities and can be used as a problem-solving tool. Additional advantages of MRI include lack of radiation-related risks to children and pregnant women, and the ability to acquire detailed diagnostic information even without intravenous contrast which can be beneficial in patients with contrast allergy and end-stage renal disease. In the part 2, the authors focus on MRI features of female pelvic gynecological diseases, pregnancy-related complications, abdominal vascular complications, and renal diseases.

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Utility of MRI in Management of a Rare Case of Unilateral Dichorionic-Diamniotic Twin Tubal Ectopic Pregnancy

Cited by 2 publications

References 16 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

Problem-solving with MRI in acute abdominopelvic conditions, part 2: gynecological, obstetric, vascular, and renal diseases

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