A Case of Unilateral Spontaneous Live Twin Ectopic Pregnancy

Abstract

Aim: Ectopic pregnancy (EP) is the placement of the fertilized ovum in an area other than the endometrial cavity. A one-sided twin EP, on the other hand, is a rare case. It is estimated to occur in approximately 1 in 200 EPs and 1 in 125,000 spontaneous pregnancies. Materials and methods: In this case, we presented the diagnosis and treatment process of a 40-year-old patient who applied to our clinic with complaints of delayed menstruation, abdominal pain and vaginal bleeding, and then diagnosed with twin EP. Results, conclusion: EP is the most important cause of death in the first trimester. This risk increases in twin EP. Therefore, timely diagnosis and appropriate treatment options are critical. Especially in pregnancies in the first trimester, anamnesis, laboratory, TA and TV USG evaluation should be performed.

Keywords

• Ectopic pregnancy
• Twin pregnancy
• Laparoscopic surgery

Unilateral Spontan Canlı İkiz Ektopik Gebelik Olgusu

Abstract

Amaç: Ektopik gebelik (EG); fertilize ovumun endometriyal kavite dışında bir alana yerleşmesidir. Tek taraflı ikiz EG ise nadir görülen bir durumdur. Yaklaşık olarak her 200 EG’den birinde ve her 125000 spontan gebelikte bir ortaya çıktığı tahmin edilmektedir. Olgu: 40 yaşında, adet gecikmesi, karın ağrısı ve vajinal kanama şikayeti ile kliniğimize başvurun, ardından ikiz EG tanısı konulan hastanın tanı ve tedavi sürecini sunduk. Sonuç: EG, ilk trimestrda görülen ölümlerin en önemli nedenidir. Bu risk ikiz EG’de artmaktadır. Bu sebeple zamanında tanı konulması ve uygun tedavi seçeneğinin yapılması oldukça önemlidir. Özellikle birinci trimestr’de olan gebeliklerde anamnez, laboratuar, TA ve TV USG değerlendirmesi yapılmalıdır.

Keywords

• Ektopik gebelik
• İkiz gebelik
• Laparoskopik Cerrahi

References

1. 1. Stabile I, Grudzinskas J. Ectopic pregnancy: a review of incidence and diagnostic aspects. Obstet Gynecol Surv. 1990;45:335-47.
2. 2. Breen JL. A 21 year survey of 654 ectopic pregnancies. Am J Obstet Gynecol. 1970;106:1004-19.
3. 3. Abrams R, Kanter A. Bilateral simultaneous extrauterine pregnancy. Am J Obstet Gynecol. 1948;56:1198-200.
4. 4. Parker J, Hewson AD, Calder‐Mason T, Lai J. Transvaginal ultrasound diagnosis of a live twin tubal ectopic pregnancy. Australas Radiol. 1999;43:95-7.
5. 5. Kıncı MF, Gökbel İ, Akın D, Sivaslıoğlu AA. Treatment approaches in ectopic pregnancy: retrospective analysis of a tertiary referal center. Ege Klin Tıp Derg. 2020;58:44-8.
6. 6. Shwayder J, Mahoney V, Bersinger D. Unilateral twin ectopic pregnancy managed by operative laparoscopy: a case report. J Reprod Med. 1993;38:314-6.
7. 7. Storch MP, MP S, RH P. Unilateral tubal twin gestation. Am J Obstet Gynecol. 1976;125:1148.
8. 8. Neuman WL, Ponto K, Farber RA, Shangold GA. DNA analysis of unilateral twin ectopic gestation. Obstet Gynecol. 1990;75:479-83.

9. 9. Prasad I, Singh A. Live unilateral twin-ectopic tubal pregnancy: a rare case. Indian J Medical Special. 2013;4:298.
10. 10. Bickell NA, Bodian C, Anderson RM, Kase N. Time and the risk of ruptured tubal pregnancy. Obstet Gynecol. 2004;104:789-94.
11. 11. Tam T, Khazaei A. Spontaneous unilateral dizygotic twin tubal pregnancy. J Clin Ultrasound. 2009;37:104-6.