Introduction: The implantation of a fertilized ovum outside of the normal uterine cavity is referred to as ectopic pregnancy, most frequently in the fallopian tube. Unilateral tubal twins are a rare diagnosis since they occur in around 1 in 125,000 spontaneous pregnancies.
Presentation Of Case: We report a case of A 39 -year- old female (Gravida 6, para 6) who presented to the emergency department with continuous abdominal pain and with vaginal bleeding, Transvaginal Ultrasound,and positive hCG levels suggested having an ectopic pregnancy that was managed by surgical laparotomy that revealed a twin ectopic pregnancy.
Discussion: By using transvaginal ultrasound and urine/serum beta-human chorionic gonadotropin (bHCG) tests, early ectopic pregnancy identification has improved, reducing related morbidity and death. In our case, a gestational sac was detected during a vaginal ultrasound and the high level of bHCG (63,000) suggested an ectopic pregnancy. Surgical management was chosen because the pregnant sac was on the verge of bursting.
Conclusion: This case serves as a reminder of the importance of considering the potential for having twin ectopic pregnancies.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556754 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2023.108833 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Management of tubal ectopic pregnancy in a large maternity unit; a six-year review.
Eur J Obstet Gynecol Reprod Biol
February 2025
Pregnancy Loss Research Group, Department of Obstetrics and Gynaecology, University College Cork, Cork, Ireland; Cork University Maternity Hospital, Wilton, Cork, Ireland; National Perinatal Epidemiology Centre, University College Cork, Ireland.
Objective(s): Ectopic pregnancy is where a pregnancy develops in an abnormal location. The incidence of ectopic pregnancy in Ireland is approximately 14.8 per 1,000 maternities.
View Article and Find Full Text PDFLaryngospasm During Anesthesia in Emergency Surgery for Ruptured Ectopic Pregnancy: A Case Report.
Clin Case Rep
March 2025
Vali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Imam Khomeini Hospital Complex Tehran University of Medical Sciences Tehran Iran.
This case report highlights the challenges of managing laryngospasm during emergency surgery for a ruptured ectopic pregnancy. Laryngospasm, a serious complication of anesthesia, causes involuntary laryngeal muscle contractions that obstruct the airway and can lead to hypoxemia, unconsciousness, or death if untreated. A 39-year-old obese woman presented with acute abdominal pain and symptoms of a ruptured ectopic pregnancy.
View Article and Find Full Text PDFDecreasing serum estradiol level on day of progesterone start in programmed frozen embryo transfer cycles and the pregnancy outcomes.
Medicine (Baltimore)
March 2025
The Reproductive Medicine Center of Weifang People's Hospital, Weifang, Shandong, China.
High serum estradiol levels may reduce the success of conception and live birth in both in vitro fertilization and frozen embryo transfer (FET). This retrospective study sought to determine whether an association exists between decreasing the serum estradiol level and the clinical outcome following programmed FET cycles. The analysis retrieved the data of patients who underwent programmed FET cycles at the Center of Reproductive Medicine of Weifang People's Hospital from January 2022 to March 2023.
View Article and Find Full Text PDFExploring Vulval Fibroadenoma: A Rare Entity.
Cureus
February 2025
Obstetrics and Gynaecology, Maharaja Agrasen Medical College, Agroha, IND.
Vulval fibroadenoma is a rare benign neoplasm mimicking mammary fibroadenoma, with limited cases reported earlier. Its origin is still debatable, linked to either ectopic mammary tissue or specialized anogenital glands. Similar to breast fibroadenoma, it usually presents as a painless, firm, well-circumscribed mass and responds to hormonal changes during menstruation, pregnancy, or lactation.
View Article and Find Full Text PDFEarly Pregnancy Loss in the 1st Trimester: Guideline of the DGGG, OEGGG and SGGG (S2k-Level, AWMF Registry No. 015/076; August 2024).
Geburtshilfe Frauenheilkd
March 2025
Universitätsmedizin Frankfurt am Main, Klinik für Frauenheilkunde und Geburtshilfe, Frankfurt am Main, Germany.
This guideline aims to improve and standardize the diagnostic and therapeutic approaches for different types of miscarriages, pregnancies of unclear localization, and ectopic pregnancies in the 1st trimester. In accordance with the requirements for an S2k-guideline, this guideline was compiled following a search of the literature, and the various recommendations and statements were formally agreed upon by an interdisciplinary group of representative experts from Germany (DGGG, etc.), Austria (OEGGG) and Switzerland (SGGG) who met up several times under the aegis of the German Society for Gynecology and Obstetrics ( , DGGG).
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!