Tubo-Ovarian ectopic pregnancy: a rare twin ectopic pregnancy

Authors

  • Niama Khan Department of Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan https://orcid.org/0000-0002-3731-2476
  • Neha Farooq Department of Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan
  • Mohsin khan Ayub Teaching Hospital, Abbottabad, Pakistan

DOI:

https://doi.org/10.47391/JPMA.9355

Keywords:

Ovarian Pregnancy, Laparotomy, Tubal Ectopic

Abstract

The most common twin ectopic pregnancy is heterotopic (1/7000). We are reporting a rare case of twin tubo-ovarian ectopic pregnancy, which was presented in the emergency department of Ayub Teaching Hospital Abbottabad. A 30-year-old female arrived with worsening lower Abdominal pain persisting for three weeks. She also had per-vaginal bleeding with passage of clots 1week ago. Clinical examination revealed a tense abdomen with tenderness in the left iliac fossa. Per-vaginally, there was cervical motion tenderness and fullness in the posterior fornix. Beta HCG level revealed a sub-optimal rise whereas Transabdominal ultrasound showed an echogenic shadow in the left ovary. The uterus appeared normal. On exploratory laparotomy a large left ovarian mass was seen with ruptured chronic right tubal pregnancy with adhesions. On cut-section of the ovary, a small foetus was evident.

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Published

2024-05-24

How to Cite

Khan, N., Farooq, N., & khan, M. (2024). Tubo-Ovarian ectopic pregnancy: a rare twin ectopic pregnancy. Journal of the Pakistan Medical Association, 74(6), 1172–1174. https://doi.org/10.47391/JPMA.9355

Issue

Section

Case Report