Open AccessUnilateral spontaneous tubal twin ectopic pregnancy: A rare occurrence
Author(s) -
AN Pulei,
PA Muga,
KW Ongeti,
John Kinuthia,
Omondi Ogutu
Publication year - 2017
Publication title -
anatomy journal of africa
Language(s) - English
Resource type - Journals
eISSN - 2305-9478
pISSN - 2226-6054
DOI - 10.4314/aja.v6i1.150683
Subject(s) - medicine , ectopic pregnancy , gestational sac , laparotomy , abdominal pregnancy , pregnancy , obstetrics , twin pregnancy , iliac fossa , abdominal pain , gestation , conjoined twins , crown rump length , surgery , gynecology , genetics , biology , first trimester
Unilateral tubal twin pregnancy remains rare despite a rise in the incidence of singleton ectopic pregnancies. A 27-year-old Gravida 1 Para 0+0 at 12 weeks gestation, presented to our institution with a 1-month history of lower abdominal pain, that progressively worsened and became very severe. An abdominal ultrasound revealed an extrauterine gestational sac that looked like a single viable fetus in the right adnexa at about 12 weeks by crown rump length. Free fluid was noted in the right iliac fossa and Morrison’s pouch. A conclusion of a right-ruptured ectopic pregnancy was made. The patient underwent laparotomy and a diagnosis of twin right-sided fimbrial ectopic pregnancy was made. The crown rump lengths of the twins were 6cm and 4cm. We present this case because unilateral tubal twin pregnancy is still a rare phenomenon, and clinicians as well as clinical embryologists need to acknowledge its existence considering the diagnosis of this case was not made pre-operatively.Key words: Twin Tubal, ectopic pregnancy, unilateral