Subscribe to RSS
DOI: 10.1055/s-1999-8906
Eine vitale unilaterale Gemini-Tubargravidität - Sonographische Diagnostik und laparoskopische Sanierung
Intact Unilateral Twin Pregnancy - Sonographic Diagnosis and Laparoscopic TreatmentPublication History
Publication Date:
31 December 1999 (online)
Zusammenfassung
Ektope Zwillingsschwangerschaften sind selten. Meist handelt es sich hierbei um ein gleichzeitiges Auftreten einer Tubargravidität in Kombination mit einer intrauterinen Schwangerschaft. Die Kasuistik beschreibt den seltenen Fall einer vitalen unilateralen ektopen Zwillingsschwangerschaft der 7. Schwangerschaftswoche und deren vaginalsonographische Diagnostik. Bei der Patientin wurde eine laparoskopische Salpingektomie durchgeführt. Die Arbeit gibt einen Überblick über die gegenwärtige Literatur.
Ectopic twin pregnancy is rare. Most frequently it occurs as a heterotopic pregnancy located simultaneously in the the fallopian tube and in the uterus. An unusual case of an intact unilateral ectopic twin pregnancy in the 7th week of gestation was diagnosed at this early stage by TVS (transvaginal ultrasound). The patient was successfully treated by laparoscopic salpingectomy. A review of the current literature is discussed.
Schlüsselwörter:
Tubargravidität - Gemini - Transvaginale Sonographie
Key words:
Ectopic pregnancy - Twins - Transvaginal sonography
Literatur
- 01 Ascarelli M H. Unilateral twin ectopic gestation: A case report. J Report Med. 1989; 34 850
- 02 Ash K M, Lyons E A, Levi C S, et al. Endovaginal sonographic diagnosis of ectopic twin gestation. Ultrasound Med. 1991; 10 497
- 03 Bello G V, Schonholz D, Moshirpur J, et al. Combined pregnancy: The Mount Sinai experience. Obstet Gynecol Surv. 1986; 41 603
- 04 Clark S L, Aryasingha J C. Simultaneous bilateral tubal pregnancy. J Reprod Med. 1983; 28 227
- 05 Daisley H. Ectopic pregnancies in Trinidad. A clinico-pathological study of 154 consecutive surgically treated cases. West-Indian-Med-J. 1989; 38 222-227
- 06 DeOtt D. A case of unilateral tubal twin gestation. Ann Gynecol Obstet. 1991; 36 304
- 07 Goldberg J M, Majmudar B, Toledo A A, et al. Unilatral tubal twin pregnancy: A report of two cases. J Reprod Med. 1988; 33 723
- 08 Halvorsen A C, Colov N S. Unilateral ectopic twin pregnancy. Ugesk-Laeger. 1994; 26 5709-5710
- 09 Jackson G M, Rubin S M, Sondheimer S J. Mortality following unilateral twin interstitial ectopic pregnancy. A case report. J Reprod Med. 1992; 37 896-900
- 10 Monteagudo A, Timor-Tritsch I E. Ultrasound and multifetal pregnancy. New York; The Parthenon Publishing Group 1997: 31-34
- 11 Reece E A, Petrie R H, Sirmans M F, et al. Combined intrauterine and extrauterine gestations: A review. Amer J Obstet Gynecol. 1983; 146 323
- 12 Santos C A, Sicuranza B S, Chatterjee M S. Twin tubal gestation diagnosed before rupture. Perinat Neonat. 1986; 10 52
- 13 Schinzel A L, Smith D W, Miller J R. Monozygotic twinning and structural defects. J Pediatr. 1979; 95 921
- 14 Sherer D M, Liberto L, Woods J R. Preoperative sonographic diagnosis of a unilateral tubal twin gestation with documented fetal heart activity. Ultrasound Med. 1990; 9 729
- 15 Shwayder J M, Mahony V, Bersinger D E. Unilateral twin ectopic pregnancy managed by operative laparoscopy. A case report. J Reprod Med. 1993; 38 314-316
- 16 Storch M P, Petrie R H. Unilateral tubal twin gestation. Amer J Obstet Gynecol. 1976; 125 1148
Dr. med. OA M. T. Schäfer
Evangelisches Waldkrankenhaus Spandau Abteilung für Gynäkologie und Geburtshilfe
Stadtrandstraße 555
D-13589 Berlin