The New Indian Journal of OBGYN. 8(2):315-317

An unusual case of spontaneous unilateral ruptured twin ectopic pregnancy

Shakti Jain,Karishma Sharma,Shweta Singh

ABSTRACT

Unilateral twin ectopic pregnancy is an extremely rare condition, occurring in 1/20.000-250.000 pregnancies with approximately only 100 cases reported till date in literature. This report illustrates a rare case of ruptured ectopic pregnancy which occurred due to unilateral twin ectopic pregnancy. A 35 years old woman G7P6 reported to emergency with amenorrhea of one and half months and pain in lower abdomen. Her urine pregnancy test was positive and ultrasonography showed multiple (twin) ectopic gestational sacs in left adnexa. Color doppler showed ring of fire sign encircling both the gestational sacs suggestive of twin ectopic pregnancy. Exploratory laparotomy with left salpingo-oophorectomy and histopathological examination of the specimens confirmed the diagnosis.