Unruptured unilateral twin ectopic pregnancy: a rare case report

Authors

  • Nayanika Gaur 1Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India 2Consultant, Kirti IVF Clinic and Gynec Endoscopy Centre, Jodhpur, Rajasthan, India
  • Piyush K. Goyal Consultant, Piyush Diagnostic Centre, Jodhpur, Rajasthan, India
  • Manish Jha Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences Jodhpur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20201822

Keywords:

Ectopic pregnancy, Laparoscopic salpingectomy, Tubal ectopic, Twin ectopic gestation, Unruptured ectopic pregnancy

Abstract

Unilateral twin ectopic pregnancy is a rare entity with an incidence of 1 in 125,000 pregnancies. This is a case of a 26-year-old primigravida with a spontaneous unilateral twin ectopic gestation, diagnosed on transvaginal ultrasound, treated laparoscopically by doing unilateral salpingectomy and confirmed with histopathology. The doubt for ectopic pregnancy was raised when the serum β-HCG level was constantly >1500 mIU/ml and serum progesterone level was <5 pg/ml and no intrauterine pregnancy was seen. On a follow-up scan, twin gestational sac was noted in right adnexa along with a large haemorrhagic cyst in the right ovary. On post-surgery follow-up, patient was found to have had complete recovery. This case report discusses the incidence and rarity, yet possibility of twin ectopic gestations, the need for early diagnosis and its management.

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References

Hanchate V, Garg A, Sheth R, Rao J, Jadhav PJ, Karayil D. Transvaginal sonographic diagnosis of live monochorionic twin ectopic pregnancy. J Clin Ultrasound. 2002;30(1):52-6.

Li C, Meng CX, Zhao WH, Lu HQ, Shi W, Zhang J. Risk factors for ectopic pregnancy in women with planned pregnancy: a case-control study. Eur J Obstet Gynecol Reprod Biol. 2014;181C:176-82.

Goswami D, Agrawal N, Arora V. Twin tubal pregnancy: A large unruptured ectopic pregnancy. J Obstet Gynecol Res. 2015;41(11):1820-2.

Tahmina S, Daniel M, Solomon P. Clinical analysis of ectopic pregnancies in a tertiary care center in southern India: a six-year retrospective study. J Clin Diagn Res. 2016;10(10):QC13-Q.

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Published

2020-04-28

How to Cite

Gaur, N., Goyal, P. K., & Jha, M. (2020). Unruptured unilateral twin ectopic pregnancy: a rare case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 9(5), 2151–2153. https://doi.org/10.18203/2320-1770.ijrcog20201822

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Section

Case Reports