Gravidez gemelar dicoriónica espontânea numa das trompas Spontaneous unilateral dichorionic twin tubal pregnancy

Ectopic pregnancy presents a major health problem for women of childbearing age. It is the result of a law in human reproductive physiology that allows the conceptus to implant and mature outside the endometrial cavity. Without timely diagnosis and treatment, ectopic pregnancy can become a life-threatening situation. Spontaneous unilateral twin ectopic pregnancy is an extremely rare condition and a diagnostic challenge for obstetricians. We present a case of a 31-year-old woman, G2 P1, who presented with a 7-week history of amenorrhea and lower abdominal pain. Transvaginal color Doppler sonography revealed two separate gestational sacs within the left adnexa, each containing an embryo, both with cardiac activity. Exploratory laparotomy with left salpingectomy was the treatment option. Mortality and morbidity associated with spontaneous unilateral twin ectopic pregnancy in the fallopian tube is likely to be reduced by prompt diagnosis and management.