Document Detail


Twin tubal pregnancy: a rising complication?
MedLine Citation:
PMID:  20416870     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To present four cases of twin tubal pregnancies and discuss possible etiologies. Twin tubal pregnancies are a rare event, with incidence rates estimated as 1 out of 725-1,580 of tubal pregnancies. DESIGN: Case series. SETTING: Department of obstetrics and gynecology at a tertiary health care facility. PATIENT(S): All women with twin tubal pregnancy diagnosed and treated in the department during the years 2007-2009, according to electronic files and histologic reports. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Artificial reproductive technique preceding twin tubal pregnancies RESULT(S): We diagnosed four twin pregnancies of 163 tubal pregnancies, an incidence of 2.4%. Of the four cases, two conceived after gonadotropin stimulation and intrauterine insemination. The third conceived following in vitro fertilization and intracytoplasmic sperm injection. The fourth was a spontaneous conception diagnosed as monochorial monoamniotic twin tubal pregnancy. CONCLUSION(S): Twin tubal pregnancies may not be as rare as previously thought. Three of the four cases identified during a 2-year period followed artificial reproductive technique. We hope that this report will promote the study of the epidemiology of this event, improve diagnosis, and encourage the development of treatment modalities.
Authors:
Ran Svirsky; Ron Maymon; Zvi Vaknin; Sonia Mendlovic; Ariel Weissman; Reuvit Halperin; Arie Herman; Moti Pansky
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-04-22
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2010-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1910.e13-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Elsevier Inc.
Affiliation:
Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Zerifin, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Incidence
Pregnancy
Pregnancy Complications / diagnosis,  epidemiology*
Pregnancy, Multiple* / statistics & numerical data
Pregnancy, Tubal / diagnosis,  epidemiology*
Reproductive Techniques, Assisted
Twins*

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