TY - JOUR
TI - Cervical Twin Heterotopic Pregnancy: Overview of Ectopic Pregnancies and
Scanning Detection Algorithm
AU - Koutras, Antonios
AU - Fasoulakis, Zacharias
AU - Diakosavvas, Michail and
AU - Syllaios, Athanasios
AU - Pagkalos, Athanasios
AU - Samara, Athina A. and
AU - Tsatsaris, Georgios
AU - Ntounis, Thomas
AU - Theodora, Marianna and
AU - Sindos, Michael
AU - Kontomanolis, Emmanuel N.
JO - MEDICINA-LITHUANIA
PY - 2021
VL - 57
TODO - 9
SP - null
PB - MDPI
SN - null
TODO - 10.3390/medicina57090969
TODO - heterotopic pregnancy; cervical twins; gestation
TODO - 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.
ER -