Document Detail

Transvaginal sonographic diagnosis of live monochorionic twin ectopic pregnancy.
MedLine Citation:
PMID:  11807857     Owner:  NLM     Status:  MEDLINE    
Ectopic pregnancy is a leading cause of pregnancy-related deaths; its incidence has progressively increased in recent years. Spontaneous twin ectopic pregnancy, however, is extremely rare. Among more than 100 reported cases of twin tubal pregnancies, only 5 cases in which fetal cardiac motion has been visualized in both embryos have been reported. We describe an additional case of a live monochorionic twin ectopic pregnancy in a patient with no predisposing factor. With transabdominal sonography, we initially diagnosed a single ectopic pregnancy, visualized as an ill-defined mass in the left adnexa. However, with transvaginal sonography, we determined the left adnexal mass to contain a single monochorionic gestational sac with 2 embryos, each with cardiac motion. These findings were confirmed with color Doppler sonography and at laparotomy. The introduction of high-resolution transvaginal sonography has resulted in the earlier diagnosis of ectopic pregnancy and has contributed to a recent decrease in the maternal mortality and morbidity associated with this condition.
Vijay Hanchate; Ashwin Garg; Rahul Sheth; Jhanavi Rao; Pallavi J Jadhav; Diljit Karayil
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  30     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-01-24     Completed Date:  2002-02-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  52-6     Citation Subset:  IM    
Copyright Information:
Copyright 2002 John Wiley & Sons, Inc.
Department of Radiology, King Edward VII Memorial Hospital, Parel, Mumbai 400012, India.
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MeSH Terms
Fetal Heart
Pregnancy, Ectopic / ultrasonography*
Pregnancy, Multiple*
Comment In:
J Clin Ultrasound. 2002 Nov-Dec;30(9):570-1   [PMID:  12404527 ]

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