Early detection of a twin tubal pregnancy by Doppler sonography allows fertility-conserving laparoscopic surgery.
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.
Summa
Birte
B
Kiel School of Gynecological Endoscopy, Department of Gynecology and Obstetrics, University Hospital Schleswig-Holstein, Campus Kiel, Michaelisstrasse 16, 24105, Kiel, Germany.
Meinhold-Heerlein
Ivo
I
Bauerschlag
Dirk O
DO
Jonat
Walter
W
Mettler
Liselotte
L
Schollmeyer
Thoralf
T
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