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Early detection of a twin tubal pregnancy by Doppler sonography allows fertility-conserving laparoscopic surgery

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Abstract

Background

Vital twin tubal gestation is a rare complication in pregnancy.

Case

An asymptomatic gravida 1 female presented with increasing β-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.

Conclusion

Doppler sonography may detect vital ectopic pregnancies early enabling fertility-conserving surgery.

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Acknowledgments

We thank Mrs. Dawn Rüther for reading and correcting the manuscript.

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Authors and Affiliations

  1. Kiel School of Gynecological Endoscopy, Department of Gynecology and Obstetrics, University Hospital Schleswig-Holstein, Campus Kiel, Michaelisstrasse 16, 24105, Kiel, Germany

    Birte Summa, Ivo Meinhold-Heerlein, Dirk O. Bauerschlag, Walter Jonat, Liselotte Mettler & Thoralf Schollmeyer

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  1. Birte Summa
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  2. Ivo Meinhold-Heerlein
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  3. Dirk O. Bauerschlag
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  4. Walter Jonat
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  5. Liselotte Mettler
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  6. Thoralf Schollmeyer
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Corresponding author

Correspondence to Thoralf Schollmeyer.

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Summa, B., Meinhold-Heerlein, I., Bauerschlag, D.O. et al. Early detection of a twin tubal pregnancy by Doppler sonography allows fertility-conserving laparoscopic surgery. Arch Gynecol Obstet 279, 87–90 (2009). https://doi.org/10.1007/s00404-008-0648-x

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  • DOI: https://doi.org/10.1007/s00404-008-0648-x

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