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Twin tubal pregnancy: A large unruptured ectopic pregnancy.
- Source :
-
Journal of Obstetrics & Gynaecology Research . Nov2015, Vol. 41 Issue 11, p1820-1822. 3p. 1 Color Photograph. - Publication Year :
- 2015
-
Abstract
- Twin ectopic pregnancy is a rare occurrence, with an estimated incidence of 1 in 20 000 spontaneous pregnancies. We describe a case of unilateral twin ectopic pregnancy in which the gravid fallopian tube showed no signs of tubal rupture despite marked tubal distension. A 25-year-old woman presented with clinical features suggestive of large right-sided tubal ectopic pregnancy. Serum β-human chorionic gonadotropin was 10 800 IU/mL. Laparotomy revealed markedly distended right fallopian tube. There was no hemoperitoneum. The tube contained twin gestational sacs. The crown-rump length of the embryos was 2 cm. The ectopic gestation was thus unique, in that despite marked tubal distension, the trophoblastic invasion was not significant to cause tubal rupture. There may be a role for medical management based on individual gestational sac size in selected cases of twin tubal pregnancy in which there is no evidence of hemoperitoneum. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 13418076
- Volume :
- 41
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Journal of Obstetrics & Gynaecology Research
- Publication Type :
- Academic Journal
- Accession number :
- 110569728
- Full Text :
- https://doi.org/10.1111/jog.12771