2019 Volume 22 Issue 1 Pages 35-39
Unilateral twin tubal pregnancy is rare. We report the first case of the preoperative diagnosis of unilateral twin tubal pregnancy by enhanced magnetic resonance imaging. A 31-year-old female visited our hospital because she became pregnant after ovulation induction by clomiphene at her previous clinic. A small amount of bleeding from the external uterine cervix was observed at the initial visit. Transvaginal ultrasonography revealed a fetal sac near the right fallopian tube, but it was not detected in the uterus. Two gestational-like structures were noted in the right fallopian tube on enhanced magnetic resonance imaging, and she was diagnosed with right twin tubal pregnancy. Laparoscopic right fallopian tube resection was performed after the diagnosis. Two masses were found in the right fallopian tube. Enhanced magnetic resonance imaging was useful for the diagnosis of unilateral twin tubal pregnancy.
