Vohra Suman, Mahsood Shazia, Shelton Hannah, Zaedi Khaled, Economides D L
Department of Obstetrics and Gynaecology, Royal Free Hospital, Hampstead Heath, London, UK.
Department of Radiology, Royal Free Hospital, Hampstead Heath, London, UK.
Ultrasound. 2014 Nov;22(4):243-6. doi: 10.1177/1742271X14555565. Epub 2014 Oct 16.
The incidence of ectopic pregnancy has increased in recent years and now is around one in 100 pregnancies. However, the incidence of live twin ectopic pregnancy in a spontaneous conception is still quite rare. A 34-year-old gravida 3, para 0 presented in the Early Pregnancy Unit with a positive pregnancy test, lower abdominal pain and vaginal spotting. Her quantitative serum Beta hCG was high, and the transvaginal scan revealed an empty uterine cavity with a twin ectopic pregnancy in the left adnexa with cardiac activity in both embryos. The patient was taken for laparoscopic surgery and a left ampullary twin pregnancy was confirmed. She underwent a left salpingectomy and is well on a one-year follow-up. This case report discusses the incidence, diagnoses and treatment of ectopic pregnancies in general.
近年来，异位妊娠的发生率有所上升，目前约为每100例妊娠中有1例。然而，自然受孕中活胎双胎异位妊娠的发生率仍然相当罕见。一名34岁、孕3产0的妇女因妊娠试验阳性、下腹痛和阴道点滴出血就诊于早孕科。她的血清β - hCG定量值较高，经阴道超声检查显示子宫腔空虚，左侧附件区有双胎异位妊娠，两个胚胎均有心跳。患者接受了腹腔镜手术，证实为左侧壶腹部双胎妊娠。她接受了左侧输卵管切除术，术后一年随访情况良好。本病例报告总体讨论了异位妊娠的发生率、诊断和治疗。
