CASE-REPORT AND REVIEW OF THE LITERATURE - PRIMARY TWIN OVARIAN PREGNANCY

A case report of primary twin ovarian pregnancy is presented, A 36 yea r old woman, gravida 4 para 3, was admitted to the hospital for suspec ted ectopic pregnancy, with vaginal bleeding at 11 weeks after her las t menstrual period, associated with pelvic pain. An endovaginal ultras onography led to the diagnosis of twin ovarian right ectopic pregnancy with two dead fetuses associated with a compartmentalized haemoperito neum. Unilateral oophorectomy was carried out by laparotomy. Histologi cal studies confirmed an uni-ovular di-amniotic ovarian pregnancy. Sev en cases of ovarian twin pregnancies are reviewed in the literature, T his case is the first one where diagnosis has been made by endovaginal sonography.