medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2013, Number 10

<< Back Next >>

Ginecol Obstet Mex 2013; 81 (10)

Laparoscopic management of a spontaneous live monochorionic monoamniotic twin tubal ectopic pregnancy. A case report.

Pérez-Martín L, De León LJ, Gámez-Alderete F, Bravo C, Pérez FF, Aguarón AA, Ortiz A

Language: Spanish
References: 18
Page: 612-615
PDF size: 145.12 Kb.


ABSTRACT

We present a case of a spontaneous live monochorionic monoamniotic twin tubal ectopic pregnancy detected by transvaginal ultrasound scan after medical therapy with single dose of methotrexate failed. The incidence of this type of ectopic pregnancies is probably arising due to the increasing use of the assisted reproduction techniques, but they are underdiagnosed and mistreated, as surgical approach seems to be the most adequate in these cases.


REFERENCES

  1. De Los Ríos JF, Castañeda JD, Miryam A. Bilateral ectopic pregnancy. J Minim Invasive Gynecol 2007;14:419-427.

  2. Coste JJ, Bouyer S, Ughetto L, Gerbaud H, Fernández JL, et al. Ectopic pregnancy is again on the increase. Recent trends in the incidence of ectopic pregnancies in France (1992-2002). Hum Reprod 2004;19:2014-2018.

  3. Hoover KW, Tao G Kent CK. Trends in the diagnosis and treatment of ectopic pregnancy in the United States. Obstet Gynecol 2010;115:495-502.

  4. Hanchate V, Garg A, Sheth R, Rao J, Jadhav PJ, Karayil D. Transvaginal sonographic diagnosis of live monochorionic twin ectopic pregnancy. J Clin Ultrasound 2002;30:52-56.

  5. Revicky VAK, Al-Taher H. Spontaneous monochorionic monoamniotic twin tubal ectopic pregnancy. J Obstet Gynaecol 2009;29:447-448.

  6. Svirsky R, Maymon R, Vaknin Z, Mendlovic S, et al. Twin tubal pregnancy: a rising complication? Fertil Steril 2010;94:1910.e1913-1916.

  7. Luciano DE, Jain A, Roy G, Solima E, Luciano AA. Ectopic pregnancy--from surgical emergency to medical management. J Am Assoc Gynecol Laparosc 2004;11:107-122.

  8. Mol FB, Mol W, Ankum WM, et al. Current evidence on surgery, systemic methotrexate and expectant management in the treatment of tubal ectopic pregnancy: a systematic review and meta-analysis. Hum Reprod Update 2008;14:309-319.

  9. Stovall TG, Ling FW, Gray LA. Single-dose methotrexate for treatment of ectopic pregnancy. Obstet Gynecol 1991;77:754-757.

  10. Kirk EG, Condous B, Van Calster Z, Haider S, et al. A validation of the most commonly used protocol to predict the success of single-dose methotrexate in the treatment of ectopic pregnancy. Hum Reprod 2007;22:858-863.

  11. Lipscomb GH, McCord ML, Stovall TG, Huff G, et al. Predictors of success of methotrexate treatment in women with tubal ectopic pregnancies. N Engl J Med 1999;341:1974-1978.

  12. Hajenius PJ, Mol F, Mol BW, Bossuyt PM, Ankum WM, Van der Veen. Interventions for tubal ectopic pregnancy. Cochrane Database Syst Rev 2001: CD000324.

  13. Gynecologists AC OA. ACOG Practice Bulletin No. 94: Medical management of ectopic pregnancy. Obstet Gynecol 2008;111:1479-1485.

  14. Karadeniz RS, Dilbaz S, Ozkan SD. Unilateral twin tubal pregnancy successfully treated with methotrexate. Int J Gynaecol Obstet 2008;102:171.

  15. Arikan DC, Kiran G, Coskun A, Kostu B. Unilateral tubal twin ectopic pregnancy treated with single-dose methotrexate. Arch Gynecol Obstet 2011;283:397-399.

  16. Marcovici I, Scoccia B. Spontaneous bilateral ectopic pregnancy and failed methotrexate therapy: a case report. Am J Obstet Gynecol 1997;177:1545.

  17. Hois EL, Hibbeln JF, Sclamberg JS. Spontaneous twin tubal ectopic gestation. J Clin Ultrasound 200;34(7):352- 355.

  18. Eddib A, Olawaiye A, Withiam-Leitch M, Rodgers B,. Yeh J. Live twin tubal ectopic pregnancy. Int J Gynaecol Obstet 2006;93:154-155.




2020     |     www.medigraphic.com