@article{3031117,
    title = "Cervical Twin Heterotopic Pregnancy: Overview of Ectopic Pregnancies and
Scanning Detection Algorithm",
    author = "Koutras, Antonios and Fasoulakis, Zacharias and Diakosavvas, Michail and and Syllaios, Athanasios and Pagkalos, Athanasios and Samara, Athina A. and and Tsatsaris, Georgios and Ntounis, Thomas and Theodora, Marianna and and Sindos, Michael and Kontomanolis, Emmanuel N.",
    journal = "MEDICINA-LITHUANIA",
    year = "2021",
    volume = "57",
    number = "9",
    publisher = "MDPI",
    doi = "10.3390/medicina57090969",
    keywords = "heterotopic pregnancy; cervical twins; gestation",
    abstract = "Background: Ectopic pregnancy is the leading cause of gestation-related
deaths during the first trimester. Cervical twin heterotopic
pregnancies, when ectopic, constitute a small and rare part of
gynecological surgery. Case Presentation: A 30-year-old pregnant woman
(gravida 3, para 2) presented with mild pain in the lower abdomen and
traces of bleeding per vaginum for three days. Transvaginal
ultrasonography revealed a balloon-shaped cervical canal with a visible
gestational sac measuring 3.5 x 3.9 cm. A second gestational sac was
seen in the uterine cavity. The measurements of the gestational sacs
corresponded to 7 + 4 weeks' pregnancy. A decision for medical abortion
with mifepristone and misoprostol was made. However, due to an
incomplete abortion and continuous bleeding, a curettage was performed.
Conclusions: Spontaneous heterotopic pregnancy with the ectopic
pregnancy located in the cervix is an extremely rare clinical condition
requiring urgent treatment in order to reduce maternal mortality and
morbidity and preserve fertility."
}