title: Spontaneous live unilateral twin ectopic pregnancy - A case presentation.
abstract: The incidence of ectopic pregnancy has increased in recent years and now is around one in 100 pregnancies. However, the incidence of live twin ectopic pregnancy in a spontaneous conception is still quite rare. A 34-year-old gravida 3, para 0 presented in the Early Pregnancy Unit with a positive pregnancy test, lower abdominal pain and vaginal spotting. Her quantitative serum Beta hCG was high, and the transvaginal scan revealed an empty uterine cavity with a twin ectopic pregnancy in the left adnexa with cardiac activity in both embryos. The patient was taken for laparoscopic surgery and a left ampullary twin pregnancy was confirmed. She underwent a left salpingectomy and is well on a one-year follow-up. This case report discusses the incidence, diagnoses and treatment of ectopic pregnancies in general.
authors.affiliation: Department of Obstetrics and Gynaecology, Royal Free Hospital, Hampstead Heath, London, UK.
authors.forename: Suman
authors.initials: S
authors.lastname: Vohra
authors.affiliation: Department of Obstetrics and Gynaecology, Royal Free Hospital, Hampstead Heath, London, UK.
authors.forename: Shazia
authors.initials: S
authors.lastname: Mahsood
authors.affiliation: Department of Radiology, Royal Free Hospital, Hampstead Heath, London, UK.
authors.forename: Hannah
authors.initials: H
authors.lastname: Shelton
authors.affiliation: Department of Obstetrics and Gynaecology, Royal Free Hospital, Hampstead Heath, London, UK.
authors.forename: Khaled
authors.initials: K
authors.lastname: Zaedi
authors.affiliation: Department of Obstetrics and Gynaecology, Royal Free Hospital, Hampstead Heath, London, UK.
authors.forename: D L
authors.initials: DL
authors.lastname: Economides
keywords: Twin ectopic pregnancy; early pregnancy; transvaginal ultrasound