Pre-Operative Sonographic Diagnosis of Unilateral Live Twin Ectopic Tubal Pregnancy Post-Tubal Ligation

The incidence of ectopic pregnancy has increased in recent years. Unilateral twin ectopic pregnancy is a rare condition and only about 100 cases have been reported in the literature. There are less than 10 unilateral ectopic pregnancies reported with beating heart in both the embyos. We present a case of live twin tubal unruptured ectopic pregnancy in a 29 years old multigravida, with history of bilateral tubal ligation 5 years ago. Ultrasonography revealed two gestational sacs of 7.2 weeks with live embryo in extra-uterine location. Laporotomy was performed for right salpingooopherectomy. This case report discusses in brief the incidence, diagnosis, treatment of ectopic pregnancy and short review of literature.