Early detection of a twin tubal pregnancy by Doppler sonography allows fertility-conserving laparoscopic surgery.

Arch Gynecol Obstet

Kiel School of Gynecological Endoscopy, Department of Gynecology and Obstetrics, University Hospital Schleswig-Holstein, Campus Kiel, Michaelisstrasse 16, 24105, Kiel, Germany.

Published: January 2009

Background: Vital twin tubal gestation is a rare complication in pregnancy.

Case: An asymptomatic gravida 1 female presented with increasing beta-HCG levels without an intrauterine gestation. Doppler sonography revealed cardiac motion of unilateral tubal twins. The patient was treated laparoscopically by partial tubectomy allowing a subsequent tubal re-anastomosis.

Conclusion: Doppler sonography may detect vital ectopic pregnancies early enabling fertility-conserving surgery.

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Source
http://dx.doi.org/10.1007/s00404-008-0648-xDOI Listing

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