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.

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

Issue

Section

Case Reports