10 April 2026
: Case report 
Live Unilateral Ectopic Twin Pregnancy in a 29-Year-Old Primigravid Woman: A Case Report and Literature Review
Unusual clinical course, Mistake in diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)
Dominika Trojnarska
ABCDEF 1*, Magdalena Kołak BEF 2, Robert Jach EF 3
DOI: 10.12659/AJCR.951347
Am J Case Rep 2026; 27:e951347
Table 1 Characteristics of the patient with live twin ectopic pregnancy.
| Maternal age | 29 years |
| Ethnicity | Eastern European |
| Gravidity | Primigravida |
| Gestational age | 5 weeks and 6 days |
| Symptoms | Asymptomatic |
| Risk factors | Ovulation stimulation with letrozole and clomiphene |
| Localization and size of masses on imaging | In the right adnexal region, 2 live ectopic pregnancies were identified: |
| β-hCG | 7385 mIU/mL |
| Management | Laparoscopy, right salpingectomy, peritoneal lavage, drain placement (pouch of Douglas), postoperative anti-D immunoglobulin |
| Outcomes | The patient was discharged on postoperative day 1β-hCG declined from 1962 mIU/mL on postoperative day 1 to 237 mIU/mL on postoperative day 7 |
| CRL – crown-rump length; GS – gestational sac; YS – yolk sac; β-hCG – beta-human chorionic gonadotropin. | |