Spontaneous live unilateral twin ectopic pregnancy - A case presentation
Suman Vohra1, Shazia Mahsood1, Hannah Shelton2
1Department of Obstetrics and Gynaecology, Royal Free Hospital, Hampstead Heath, London, UK.
Ultrasound (Leeds, England)
|July 20, 2016
Summary
A rare case of twin ectopic pregnancy, where both embryos were viable, was successfully treated with laparoscopic surgery. This highlights the importance of early diagnosis and intervention for this uncommon obstetric emergency.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
- Surgical Case Reports
Background:
- Ectopic pregnancy incidence is rising, affecting approximately 1% of pregnancies.
- Twin ectopic pregnancies, especially with spontaneous conception and viable embryos, are exceptionally rare.
Observation:
- A 34-year-old patient presented with symptoms suggestive of early pregnancy complications.
- Transvaginal ultrasound revealed an empty uterus with a twin ectopic pregnancy in the left adnexa, both embryos showing cardiac activity.
Findings:
- Laparoscopic confirmation of a left ampullary twin ectopic pregnancy.
- Successful surgical management via left salpingectomy.
- Patient demonstrated a positive one-year follow-up.
Implications:
- This case underscores the diagnostic challenges and critical need for prompt surgical intervention in rare twin ectopic pregnancies.
- Highlights the possibility of successful surgical outcomes even in complex ectopic pregnancy scenarios.
- Contributes to the limited literature on managing viable twin ectopic gestations.
