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Laparoscopic treatment of interstitial twin pregnancy

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1 Laparoscopic treatment of interstitial twin pregnancy
Paolo Casadio, M.D., Guido Formelli, M.D., Emanuela Spagnolo, M.D., Denise De Angelis, M.D., Elena Marra, M.D., Francesca Armillotta, M.D., Nunzio Salfi, M.D., Tullio Ghi, M.D., Ph.D., Susanna Giunchi, M.D., Maria Cristina Meriggiola, M.D., Ph.D., Anna Myriam Perrone, M.D., Giuseppe Pelusi  Fertility and Sterility  Volume 92, Issue 1, Pages 390.e e17 (July 2009) DOI: /j.fertnstert Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

2 Figure 1 Three-dimensional ultrasound shows the exact location of the gestational sac within the interstitial portion of the right tube, leading to a final diagnosis of ongoing monochorionic twin interstitial pregnancy. Fertility and Sterility  , 390.e e17DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

3 Figure 2 Hysteroscopic images of right (A) and left (B) tubal ostia.
Fertility and Sterility  , 390.e e17DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

4 Figure 3 Laparoscopic view of the interstitial ectopic pregnancy in the right uterine cornu: the surface appears hyperemic without signs of rupture (A). Conical exeresis of the uterine cornu using the monopolar hook (B) without involving the uterine cavity (C). Suture of the hysterotomic incision (D). Fertility and Sterility  , 390.e e17DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

5 Figure 4 The histologic test confirmed the interstitial implantation of a twin pregnancy. Arrows show the embryos. Fertility and Sterility  , 390.e e17DOI: ( /j.fertnstert ) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions


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