Madaan Sparsh, Jaiswal Arpita, Banode Pankaj, Dhok Archana, Dewani Deepika
Department of Obstetrics and Gynaecology, Datta Meghe Institute of Medical Sciences, Jawaharlal Nehru Medical College, Wardha, IND.
Department of Interventional Radiology, Datta Meghe Institute of Medical Sciences, Jawaharlal Nehru Medical College, Wardha, IND.
Cureus. 2021 Aug 10;13(8):e17077. doi: 10.7759/cureus.17077. eCollection 2021 Aug.
Ectopic pregnancy has emerged as an alarming problem for obstetricians worldwide. Live twin ectopic conception is rare to occur, and spontaneously conceived twin ectopic pregnancy is even more infrequent. A 32-years-old gravida 3, para 1, live 1, abortion 2, presented with a confirmation of pregnancy on a urinary pregnancy test kit along with pain in the right iliac fossa. Blood investigations revealed raised serum beta-human chorionic gonadotropin hormone. Transvaginal ultrasonography revealed twin ectopic conception in the right fallopian tube with both the embryos showing cardiac activity and no evidence of intrauterine gestational sac. The patient was managed with methotrexate-mediated ultrasound-guided fetal reduction and is doing well on follow-up presently. Hence, our case report highlights the importance of prompt diagnosis and management of twin ectopic pregnancies with the help of newly evolving interventional radiology procedures.
异位妊娠已成为全球产科医生面临的一个令人担忧的问题。存活双胎异位妊娠很少发生，自然受孕的双胎异位妊娠更为罕见。一名32岁孕妇，孕3产1，活产1，流产2，尿妊娠试验试剂盒确认怀孕，同时伴有右下腹疼痛。血液检查显示血清β-人绒毛膜促性腺激素升高。经阴道超声检查发现右侧输卵管双胎异位妊娠，两个胚胎均有心跳，且未发现宫内妊娠囊。该患者接受了甲氨蝶呤介导的超声引导下减胎治疗，目前随访情况良好。因此，我们的病例报告强调了借助新出现的介入放射学程序对双胎异位妊娠进行及时诊断和治疗的重要性。
