title: Early detection of a twin tubal pregnancy by Doppler sonography allows fertility-conserving laparoscopic surgery.
abstract: BACKGROUND
  Vital twin tubal gestation is a rare complication in pregnancy.
  
  
  METHODS
  An asymptomatic gravida 1 female presented with increasing beta-HCG levels without an intrauterine gestation. Doppler sonography revealed cardiac motion of unilateral tubal twins. The patient was treated laparoscopically by partial tubectomy allowing a subsequent tubal re-anastomosis.
  
  
  CONCLUSIONS
  Doppler sonography may detect vital ectopic pregnancies early enabling fertility-conserving surgery.
authors.affiliation: Kiel School of Gynecological Endoscopy, Department of Gynecology and Obstetrics, University Hospital Schleswig-Holstein, Campus Kiel, Michaelisstrasse 16, 24105, Kiel, Germany.
authors.forename: Birte
authors.initials: B
authors.lastname: Summa
authors.forename: Ivo
authors.initials: I
authors.lastname: Meinhold-Heerlein
authors.forename: Dirk O
authors.initials: DO
authors.lastname: Bauerschlag
authors.forename: Walter
authors.initials: W
authors.lastname: Jonat
authors.forename: Liselotte
authors.initials: L
authors.lastname: Mettler
authors.forename: Thoralf
authors.initials: T
authors.lastname: Schollmeyer
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging* / Q000601:surgery; D014427:Twins; D018608:Ultrasonography, Doppler; D016216:Ultrasonography, Prenatal