case_images: PMC9507443_01
case_images: Transvaginal ultrasound showing an empty uterus.
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case_images: For this, both abdominal and transvaginal ultrasound were performed showing an empty uterus, with normal endometrial echo and thickness (Figure 1).
case_images: Transvaginal ultrasound. (A) Two gestational sacs. (B) Embryo in each of both gestational sac.
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case_images: On the left side of the adnexa, there were two gestational sacs with their yolk sac and fetal embryo separated by a thick intertwin membrane (Figure 2).
case_images: Demonstrating one of the embryos with positive cardiac activity on color Doppler.
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case_images: In both of the embryos, cardiac activity was seen on color Doppler flow (Figure 3).
case_images: Left tubal ectopic pregnancy after adhesiolysis.
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case_images: Upon entry into the abdomen, there was dense adhesion between the abdominal wall and uterus, 3cm by 4cm intact left intact ampulla (tubal) ectopic pregnancy (Figure 4).
case_images: Resected tube with two gestational sacs.
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case_images: Dissecting the resected tube shows two separate gestational sacs (Figure 5).