PMC9507443_01
Transvaginal ultrasound showing an empty uterus.
IMCRJ-15-521-g0001.jpg
PMC9507443_01_IMCRJ-15-521-g0001.jpg
f0001
For this, both abdominal and transvaginal ultrasound were performed showing an empty uterus, with normal endometrial echo and thickness (Figure 1).
Transvaginal ultrasound. (A) Two gestational sacs. (B) Embryo in each of both gestational sac.
IMCRJ-15-521-g0002.jpg
PMC9507443_01_IMCRJ-15-521-g0002.jpg
f0002
On the left side of the adnexa, there were two gestational sacs with their yolk sac and fetal embryo separated by a thick intertwin membrane (Figure 2).
Demonstrating one of the embryos with positive cardiac activity on color Doppler.
IMCRJ-15-521-g0003.jpg
PMC9507443_01_IMCRJ-15-521-g0003.jpg
f0003
In both of the embryos, cardiac activity was seen on color Doppler flow (Figure 3).
Left tubal ectopic pregnancy after adhesiolysis.
IMCRJ-15-521-g0004.jpg
PMC9507443_01_IMCRJ-15-521-g0004.jpg
f0004
Upon entry into the abdomen, there was dense adhesion between the abdominal wall and uterus, 3cm by 4cm intact left intact ampulla (tubal) ectopic pregnancy (Figure 4).
Resected tube with two gestational sacs.
IMCRJ-15-521-g0005.jpg
PMC9507443_01_IMCRJ-15-521-g0005.jpg
f0005
Dissecting the resected tube shows two separate gestational sacs (Figure 5).