http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/2009/09/Cases/Live-right-tubal-twin-ectopic-pregnancy.aspx<p>A 24-year-old gravida 3, para 2 + 1 presented to the emergency room with 2 days of severe lower abdominal pain of increasing intensity. She was 9 weeks 3 days pregnant by date. There was no associated vaginal bleeding. There was no significant past medical or  surgical history.</p> <p>Physical examination revealed that her vital signs were:</p> <ul> <li>Blood presure 114/95</li> <li>Pulse rate 94/minute</li> <li>Respiratory rate 20/minute.</li> </ul> <p>Systemic review was unremarkable except for mild tenderness with guarding in the right lower quadrant. The hemoglobin level was 9.0 g/dL. The other blood chemistry levels were normal. She was then referred for transabdominal and endovaginal ultrasound, which revealed an empty uterus and 2 live fetuses with cardiac activities in the right adnexa. The left ovary and adnexa was normal. A mild amount of fluid was noted in the cul de sac. The patient was then taken to the operating room where she had abdominal laparotomy and right salpingectomy.</p>Wednesday, 02 Sep 2009 16:39:21 GMT