Case Report
Double Trouble-A Rare Case Report of Unilateral Dichorionic Twin Ectopic Pregnancy
Mudiliyar T and Pereira S*
Department of Radiodiagnosis, Goa Medical College, Goa, India
*Corresponding author:Swizzel Pereira, Department of Radiodiagnosis, Goa Medical College, Goa, India. E-mail Id: swizzelpereira21@gmail.com
Copyright: © 2025 Mudiliyar T, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Article Information:Submission: 11/11/2025; Accepted: 12/12/2025; Published: 16/12/2025
Abstract
The incidence of ectopic pregnancies has increased in recent years; however, twin ectopic pregnancies remain extremely rare.
In this case report, we present the clinical and radiological findings of an asymptomatic 38-year-old patient presenting for a routine dating scan in her first trimester. Imaging of this patient revealed the absence of an intrauterine gestational sac with a dichorionic twin ectopic pregnancy in the left adnexa with cardiac activity in both fetal poles. The patient was subsequently taken up for an emergency laparotomy on the same evening, which confirmed a ruptured left ampullary twin gestation; however, hemoperitoneum was absent. The patient underwent left salpingectomy.
Radiologists must recognize the sonographic features of such rare entities to enable timely diagnosis and prevent unwanted complications.
In this case report, we present the clinical and radiological findings of an asymptomatic 38-year-old patient presenting for a routine dating scan in her first trimester. Imaging of this patient revealed the absence of an intrauterine gestational sac with a dichorionic twin ectopic pregnancy in the left adnexa with cardiac activity in both fetal poles. The patient was subsequently taken up for an emergency laparotomy on the same evening, which confirmed a ruptured left ampullary twin gestation; however, hemoperitoneum was absent. The patient underwent left salpingectomy.
Radiologists must recognize the sonographic features of such rare entities to enable timely diagnosis and prevent unwanted complications.
Keywords:Dichorionic Twin Ectopic Pregnancy; Live Ectopic Pregnancy; Transvaginal Ultrasound; Obstetric Emergency