Obstet Gynecol Sci.  2018 Mar;61(2):274-277. 10.5468/ogs.2018.61.2.274.

A rare case of spontaneous live unilateral twin tubal pregnancy with both fetuses presenting with heart activities and a literature review

• Kim CI
• Lee TY
• Park ST
• Kim HB
• Park SH

• KMID: 2420183
• DOI: http://doi.org/10.5468/ogs.2018.61.2.274

Abstract

Ectopic pregnancy is an extrauterine pregnancy, and 98% of which occur in the fallopian tube. The incidence of twin tubal pregnancy is rare but is increasing due to assisted reproductive technology. Spontaneous unilateral twin tubal pregnancy is extremely rare, and only a small number of case reports have been made. We herein report a rare case of spontaneous unilateral twin tubal pregnancy with both fetuses presenting with heart activities and a literature review. Right salpingectomy was performed in this case. Pathologic and histologic assessment confirmed the 2 distinct pregnancies in the same tube. The twins were dichorionic and diamniotic.

Keyword

Ectopic pregnancy; Twins; Tubal pregnancy

MeSH Terms

Fallopian Tubes
Female
Fetus*
Heart*
Humans
Incidence
Pregnancy
Pregnancy, Ectopic
Pregnancy, Tubal*
Reproductive Techniques, Assisted
Salpingectomy
Twins*

Figure

• 

  Fig. 1 (A) Two gestational sacs with 2 yolk sacs were detected on the right adnexa, and fetal heartbeats were detected in both fetuses. (B) A 4-cm ectopic mass with active bleeding in the ampullary portion of the right fallopian tube. (C) There was large amount of blood in the anterior and posterior cul-de-sac. (D) Histopathology shows dichorionic and diamniotic twins.

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