{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T08:45:46Z","timestamp":1762505146077,"version":"3.41.2"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,6,14]],"date-time":"2006-06-14T00:00:00Z","timestamp":1150243200000},"content-version":"vor","delay-in-days":164,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2006,1]]},"abstract":"Background<\/jats:italic>. The incidence of unilateral twin ectopic\npregnancy is a rare condition. Several factors increase the risk\nof ectopic pregnancy, the most important of which is pelvic\ninflammatory disease, followed by operative trauma, congenital\nanomalies, tumors, and adhesions resulting in anatomically\ndistorted fallopian tubes. We present a case of a woman with a\nhistory of four confirmed sexually transmitted infections (STIs)\nincluding Chlamydia trachomatis, Neisseria gonorrhoeae<\/jats:italic>,\nherpes simplex virus 2, and Treponema pallidum<\/jats:italic>. The case\nillustrates the potential impact of sexually transmitted\ninfections (STIs) on the risk of a twin ectopic pregnancy.\nCase<\/jats:italic>. A 24\u2010year\u2010old primigravida, presented with an\nunknown last menstrual period, lower abdominal pain, watery\nvaginal discharge, and vaginal spotting. During this\nhospitalization, serum \u03b2<\/jats:italic>\u2010HCG testing was 263 mIU\/mL and\ntransvaginal ultrasonographic examination suggested a nonviable\nunilateral twin ectopic pregnancy. At exploratory laparotomy, a\n10 cm mass involving the right fallopian tube and ovary was\nexcised. Pathological evaluation of the specimen identified a\nmonochorionic, diamnionic twin ectopic pregnancy\nwithin the fallopian tube. Conclusions<\/jats:italic> Patients with a\nhistory of multiple (STIs) are known to be at risk for the\ndevelopment of chronic pelvic infection and postinflammatory\nscarring. The resulting distortion of the normal tubal anatomy\nleads to an increased risk of an uncommon presentation of ectopic\npregnancy.<\/jats:p>","DOI":"10.1155\/idog\/2006\/10306","type":"journal-article","created":{"date-parts":[[2006,6,21]],"date-time":"2006-06-21T10:09:35Z","timestamp":1150884575000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Unilateral Twin Ectopic Pregnancy in a Patient With a History of Multiple Sexually Transmitted Infections"],"prefix":"10.1155","volume":"2006","author":[{"given":"Charles J.","family":"Rolle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifford Y.","family":"Wai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Bawdon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rigoberto","family":"Santos-Ramos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Hoffman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,6,14]]},"reference":[{"key":"e_1_2_1_1_2","article-title":"A case of unilateral tubal twin gestation","volume":"36","author":"De Ott","year":"1891","journal-title":"Annales de Gyn\u00e9cologie et d\u2032Obst\u00e9trique"},{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(48)90376-7"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(16)34087-X"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1673.1999.00596.x"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(23)90758-1"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0001566000006164"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)56169-X"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2001.tb01253.x"},{"key":"e_1_2_1_9_2","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1016\/S0022-3476(79)80278-4","article-title":"Monozygotic twinning and structural defects","volume":"95","author":"Schinzel A A","year":"1975","journal-title":"The Journal of Pediatrics"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(98)00304-5"}],"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2006\/010306.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2006\/010306.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/IDOG\/2006\/10306","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T20:04:22Z","timestamp":1717704262000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/IDOG\/2006\/10306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,1]]}},"alternative-id":["10.1155\/IDOG\/2006\/10306"],"URL":"https:\/\/doi.org\/10.1155\/idog\/2006\/10306","archive":["Portico"],"relation":{},"ISSN":["1064-7449"],"issn-type":[{"type":"print","value":"1064-7449"}],"subject":[],"published":{"date-parts":[[2006,1]]},"assertion":[{"value":"2006-06-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"010306"}}