Twin tubal pregnancy: a rising complication?

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Presentation transcript:

Twin tubal pregnancy: a rising complication? Ran Svirsky, M.D., Ron Maymon, M.D., Zvi Vaknin, M.D., Sonia Mendlovic, M.D., Ariel Weissman, M.D., Reuvit Halperin, M.D., Ph.D., Arie Herman, M.D., Moti Pansky, M.D. Fertility and Sterility Volume 94, Issue 5, Pages 1910.e13-1910.e16 (October 2010) DOI: 10.1016/j.fertnstert.2010.03.017 Copyright © 2010 Terms and Conditions

Figure 1 Laparoscopy showing two gestational sacs on two tubes. Fertility and Sterility 2010 94, 1910.e13-1910.e16DOI: (10.1016/j.fertnstert.2010.03.017) Copyright © 2010 Terms and Conditions

Figure 2 Monoamniotic twins in the fallopian tube. (A) Multiplanar and three-dimensional sonography. (B) Two-dimensional color flow sonography showing blood flow in the heart of both monochrionic embryos. Fertility and Sterility 2010 94, 1910.e13-1910.e16DOI: (10.1016/j.fertnstert.2010.03.017) Copyright © 2010 Terms and Conditions

Figure 3 Bichorionic twins in the fallopian tube. (A) Two-dimensional sonography showing bichorionic twins in the fallopian tube. Note the separated yolk sacs (arrows). (B) Three-dimensional sonography showing bichorionic twins in the fallopian tube. (C) Fallopian tube distal fragment showing the presence of two distinct masses protruding from the tubal wall (arrows). (D) Fallopian tube showing two pregnancies rests, on opposite sides of the lumen, composed of chorionic villi (arrows). Hematoxylin-eosin, ×400. (E) Early primitive embryonal structure present in one of the pregnancies' rest foci, showing primitive neural tube surrounded by chorionic villi (arrows). Hematoxylin-eosin, ×400. Fertility and Sterility 2010 94, 1910.e13-1910.e16DOI: (10.1016/j.fertnstert.2010.03.017) Copyright © 2010 Terms and Conditions