Unilateral live twin ectopic pregnancy: a case report

Abstract

Introduction: Twin ectopic pregnancy is a rare condition with an incidence of 1 in every 200 ectopic pregnancies. We present a case of a twin, live, unilateral tubal ectopic pregnancy treated with laparoscopic salpingectomy.

Case: A 42-year-old nulliparous woman was admitted to our clinic with a complaint of vaginal bleeding and pelvic pain. Her serum ß-human chorionic gonadotropin (ß-hCG) level was 4500 mIU/ mL and transvaginal ultrasound revealed live tubal twin pregnancy of 7 weeks’ gestation. A laparoscopic salphingostomy was planned but salpingectomy was performed since active bleeding was noticed from tube during the operation. None complication was not occurred after operation. Patient is discharged one day after operation.

Conclusion: Viable twin ectopic pregnancy with is a rare condition. If not treated properly, it can lead to life-threatening complications.

Keywords

• Twin ectopic pregnancy
• laparoscopy
• unilateral
• live

Unilateral canlı ikiz ektopik gebelik: olgu sunumu

Öz

Giriş: İkiz ektopik gebelik; her 200 ektopik gebeliğin birinde saptanan, nadir bir durumdur. Burada laparoskopik salpenjektomi ile tedavi edilen, kalp atımları pozitif unilateral ikiz ektopik gebelik olgusunu sunduk.

Olgu: 42 yaşında nullipar hasta kliniğimize vajinal kanama ve pelvik ağrı şikayetleri ile başvurdu. Hastanın ß-hCG serum seviyesi 4500mIU/mL idi. Yapılan transvajinal ultrasonda 7 haftalık gestasyon kesesine sahip canli ikiz ektopik gebelik saptandı. Laparoskopik salpingostomi planlanan hastanın operasyon sırasında tubal aktif kanamanın durdurulamaması nedeniyle salpenjektomi yapıldı. Operasyondan sonra komplikasyon gelişmedi. Hasta ameliyattan 1 gün sonra taburcu edildi.

Sonuç: Kalp atımı pozitif unilateral ikiz gebeliğe çok nadir rastlanır. Uygun tedavi edilmezse yaşamı tehdit eden komplikasyonlara yol açabilir.

Anahtar Kelimeler

• ikiz ektopik gebelik
• tek taraflı
• canlı

Kaynakça

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