Live Unilateral Monochorionic Diamniotic Twin Ectopic Gestations At The Lekma Hospital, Teshie. Accra Ghana – A Case Report

Authors

  • J.N. Oblitey
  • E.E. Afordofe
  • E.K. Ofori
  • R. Jnr. Asamoah

DOI:

https://doi.org/10.60014/pmjg.v9i2.238

Keywords:

Live, Monochorionic Diamniotic, Transabdominal Ultrasound, Twin Ectopic, Ghana

Abstract

Live unilateral twin ectopic gestations are a rare ultrasound finding with only 12 previous cases documented, none in Africa. This 13th case highlights a 30 year old primigravida who presented with abdominal pain. Transabdominal ultrasound found live right
adnexal monochorionic diamniotic twin ectopic gestations and 200 mls of free fluid in the pouch of Douglas. Laparotomy showed two gestational sacs within the right fimbria and a right Salpingectomy was performed with good maternal outcome. This case is different from most previous cases in having previous appendectomy as a risk factor and also for its use of transabdominal ultrasound. During
transabdominal ultrasound, Sonologists must carefully evaluate any surgical scars and other risk factors, as these may raise the index of suspicion and lead to a prompt diagnosis of live unilateral monochorionic diamniotic twin ectopic gestations.

Author Biographies

J.N. Oblitey

Department of Radiography, School of Biomedical and Allied Health Sciences, College of Health Sciences,
University of Ghana, Korle-Bu, Accra – Ghana

E.E. Afordofe

Obstetrics and Gynaecology Department, LEKMA Hospital, Ghana Health Service, Teshie, Ghana

E.K. Ofori

Department of Medical Imaging, School of Allied Health Sciences, University of Health and Allied Sciences, University of Health and Allied Sciences, Ho, Ghana

R. Jnr. Asamoah

Department of Imaging and Radiodiagnosis, LEKMA Hospital, Ghana Health Service, Teshie

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Published

2022-07-12

How to Cite

Oblitey, J., Afordofe, E., Ofori, E., & Asamoah, R. J. (2022). Live Unilateral Monochorionic Diamniotic Twin Ectopic Gestations At The Lekma Hospital, Teshie. Accra Ghana – A Case Report. Postgraduate Medical Journal of Ghana, 9(2), 122–125. https://doi.org/10.60014/pmjg.v9i2.238

Issue

Section

Case Reports