{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T17:49:31Z","timestamp":1768412971041,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T00:00:00Z","timestamp":1436832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Twin ectopic pregnancy is a rare occurrence, with an estimated incidence of 1 in 20 000 spontaneous pregnancies. We describe a case of unilateral twin ectopic pregnancy in which the gravid fallopian tube showed no signs of tubal rupture despite marked tubal distension. A 25\u2010year\u2010old woman presented with clinical features suggestive of large right\u2010sided tubal ectopic pregnancy. Serum \u03b2\u2010human chorionic gonadotropin was 10 800\u2009IU\/mL. Laparotomy revealed markedly distended right fallopian tube. There was no hemoperitoneum. The tube contained twin gestational sacs. The crown\u2013rump length of the embryos was 2\u2009cm. The ectopic gestation was thus unique, in that despite marked tubal distension, the trophoblastic invasion was not significant to cause tubal rupture. There may be a role for medical management based on individual gestational sac size in selected cases of twin tubal pregnancy in which there is no evidence of hemoperitoneum.<\/jats:p>","DOI":"10.1111\/jog.12771","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T15:47:13Z","timestamp":1436888833000},"page":"1820-1822","source":"Crossref","is-referenced-by-count":9,"title":["Twin tubal pregnancy: A large unruptured ectopic pregnancy"],"prefix":"10.1111","volume":"41","author":[{"given":"Deepti","family":"Goswami","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Maulana Azad Medical College and associated Lok Nayak Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nidhi","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Maulana Azad Medical College and associated Lok Nayak Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vrinda","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Maulana Azad Medical College and associated Lok Nayak Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12099"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/IDOG\/2006\/10306"},{"key":"e_1_2_5_4_1","first-page":"304","article-title":"A case of unilateral tubal twin gestation","volume":"36","author":"De Ott D","year":"1891","journal-title":"Ann Gynecol Obstet"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)34087-X"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20530"},{"key":"e_1_2_5_7_1","first-page":"144","article-title":"Broad ligament twin pregnancy. 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