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

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Vital twin tubal gestation is a rare complication in pregnancy.


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.


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

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