case_images: PMC10847896_01
case_images: Transvaginal ultrasonography image of the uterus (transverse view) showing an intrauterine gestation with a crown rump length of 2.10 cm (right) coexisting with an ectopic tubal pregnancy with a crown rump length of 1.53 cm (left).
case_images: cureus-0016-00000051854-i01.jpg
case_images: PMC10847896_01_cureus-0016-00000051854-i01.jpg
case_images: FIG1
case_images: Ultrasound noted diamniotic, dichorionic twins corresponding with an eight-week gestational age, both with cardiac activity, as seen in Figure 1.
case_images: Transvaginal ultrasonography image of the uterus (transverse view) showing the ectopic pregnancy, presumably in the ampulla of the fallopian tube.
case_images: cureus-0016-00000051854-i02.jpg
case_images: PMC10847896_01_cureus-0016-00000051854-i02.jpg
case_images: FIG2
case_images: There was question regarding the location of the ectopic, and it was presumed to be in the typical ectopic location, the ampulla of the fallopian tube, as seen in the ultrasound image in Figure 2.
case_images: Diagnostic laparoscopic images showing the uterus and the cornual location of the ectopic pregnancy
case_images: cureus-0016-00000051854-i03.jpg
case_images: PMC10847896_01_cureus-0016-00000051854-i03.jpg
case_images: FIG3
case_images: After visualization, there was concern that the ectopic was not fully in the ampulla of the fallopian tube, but rather in the cornua of the uterus (Figure 3).
case_images: Ultrasound images of the uterus (transverse view) displaying a central cystic area with circumferential blood flow with no yolk sac or fetal pole.
case_images: cureus-0016-00000051854-i04.jpg
case_images: PMC10847896_01_cureus-0016-00000051854-i04.jpg
case_images: FIG4
case_images: Postoperatively, the patient experienced a nonconsequential 3 cm broad ligament hematoma that was discovered on MRI and treated conservatively with pain management and observation (Figure 4).