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Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach

Ectopic pregnancy has emerged as an alarming problem for obstetricians worldwide. Live twin ectopic conception is rare to occur, and spontaneously conceived twin ectopic pregnancy is even more infrequent. A 32-years-old gravida 3, para 1, live 1, abortion 2, presented with a confirmation of pregnanc...

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Autores principales: Madaan, Sparsh, Jaiswal, Arpita, Banode, Pankaj, Dhok, Archana, Dewani, Deepika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432423/
https://www.ncbi.nlm.nih.gov/pubmed/34527465
http://dx.doi.org/10.7759/cureus.17077
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author Madaan, Sparsh
Jaiswal, Arpita
Banode, Pankaj
Dhok, Archana
Dewani, Deepika
author_facet Madaan, Sparsh
Jaiswal, Arpita
Banode, Pankaj
Dhok, Archana
Dewani, Deepika
author_sort Madaan, Sparsh
collection PubMed
description Ectopic pregnancy has emerged as an alarming problem for obstetricians worldwide. Live twin ectopic conception is rare to occur, and spontaneously conceived twin ectopic pregnancy is even more infrequent. A 32-years-old gravida 3, para 1, live 1, abortion 2, presented with a confirmation of pregnancy on a urinary pregnancy test kit along with pain in the right iliac fossa. Blood investigations revealed raised serum beta-human chorionic gonadotropin hormone. Transvaginal ultrasonography revealed twin ectopic conception in the right fallopian tube with both the embryos showing cardiac activity and no evidence of intrauterine gestational sac. The patient was managed with methotrexate-mediated ultrasound-guided fetal reduction and is doing well on follow-up presently. Hence, our case report highlights the importance of prompt diagnosis and management of twin ectopic pregnancies with the help of newly evolving interventional radiology procedures.
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spelling pubmed-84324232021-09-14 Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach Madaan, Sparsh Jaiswal, Arpita Banode, Pankaj Dhok, Archana Dewani, Deepika Cureus Obstetrics/Gynecology Ectopic pregnancy has emerged as an alarming problem for obstetricians worldwide. Live twin ectopic conception is rare to occur, and spontaneously conceived twin ectopic pregnancy is even more infrequent. A 32-years-old gravida 3, para 1, live 1, abortion 2, presented with a confirmation of pregnancy on a urinary pregnancy test kit along with pain in the right iliac fossa. Blood investigations revealed raised serum beta-human chorionic gonadotropin hormone. Transvaginal ultrasonography revealed twin ectopic conception in the right fallopian tube with both the embryos showing cardiac activity and no evidence of intrauterine gestational sac. The patient was managed with methotrexate-mediated ultrasound-guided fetal reduction and is doing well on follow-up presently. Hence, our case report highlights the importance of prompt diagnosis and management of twin ectopic pregnancies with the help of newly evolving interventional radiology procedures. Cureus 2021-08-10 /pmc/articles/PMC8432423/ /pubmed/34527465 http://dx.doi.org/10.7759/cureus.17077 Text en Copyright © 2021, Madaan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Obstetrics/Gynecology
Madaan, Sparsh
Jaiswal, Arpita
Banode, Pankaj
Dhok, Archana
Dewani, Deepika
Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach
title Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach
title_full Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach
title_fullStr Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach
title_full_unstemmed Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach
title_short Spontaneous Twin Ectopic Pregnancy Managed Successfully With Methotrexate-Mediated Ultrasound-Guided Fetal Reduction: A Fertility-Preserving Approach
title_sort spontaneous twin ectopic pregnancy managed successfully with methotrexate-mediated ultrasound-guided fetal reduction: a fertility-preserving approach
topic Obstetrics/Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432423/
https://www.ncbi.nlm.nih.gov/pubmed/34527465
http://dx.doi.org/10.7759/cureus.17077
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