title: Simultaneous tubal pregnancy and twisted ovarian cyst.
abstract: BACKGROUND
  Simultaneous or concomitant bilateral adnexal pathology is rare. But simultaneous tubal pregnancy and twisted ovarian cyst is even rarer.
  
  
  METHODS
  A 25-year-old woman, gravida 2, parity 0, presented with acute abdomen after 12 weeks of amenorrhea. Simultaneous right tubal pregnancy and twisted left ovarian cyst were intraoperatively diagnosed. Right salpingostomy and left salpingo-oophorectomy were performed. The follow-up serum beta-hCG was negative at the nineteenth postoperative day. She was well at discharge and throughout the 4-week follow-up period.
  
  
  CONCLUSIONS
  Although simultaneous or concomitant bilateral adnexal pathology is uncommon, a careful assessment of both adnexa is mandatory especially in the cases with inconsistent site of symptom and pathology in order to avoid undiagnosed simultaneous pathologies that may be missed.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, 10330 Pathumwan, Bangkok, Thailand. vorapong.p@chula.ac.th
authors.forename: Vorapong
authors.initials: V
authors.lastname: Phupong
authors.forename: Somjate
authors.initials: S
authors.lastname: Manipalviratn
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010048:Ovarian Cysts / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010052:Ovariectomy; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011274:Pregnancy, Tubal / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011296:Prenatal Diagnosis; D012489:Salpingostomy