,  Haitham  Abdalla  Ali  Ismail1,  Ahmed  Elnour  Adam  Zakaria1,  Abuelez  Hassan 
Ibrahem Abdalla2 
 
1Department of Obstetrics and Gynecology, Faculty of Medicine & Health Sciences, University of Kordofan. 
2Department of Community Medicine, Faculty of Medicine & Health Sciences, University of Kordofan  
ABSTRACT 
 Spontaneous pregnancy of a live twin ectopic pregnancy is very rare. The  obstetrics and 
gynecology department at El Obeid Teaching Hospital in Sudan discovered this twin ectopic 
pregnancy. A  prime-aged  woman,  p1+1,  had five  days of  lower abdominal pain. She  also 
reported a seven-week menstrual stop and a positive serum HCG test. Ultrasounds showed 
an ectopic twin pregnancy in the right adnexa and an embryonic-free uterine cavity. She 
performed an emergency laparotomy after seeing a considerable increase in discomfort and 
sensitivity while prepping the patient for surgery. The patient with hemoperitoneum and 
right ruptured  twin  pregnancy  is  improving  throughout follow-up.  There  is  no  definitive 
recommendation for treating ectopic twin pregnancies. 
Keywords:  Ectopic  pregnancy,  conception,  obstetric  emergency 
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Correspondence  to:  Nawal  Ali  Ahmed  Mohamed,  Faculty  of  Medicine  &  Health  Sciences, 
University of Kordofan, Sudan Email: nawalaliahmed79@gmail.com, Mobile: +249912661510 
Cite this article: Mohamed NAA, Ismaail HAA, Zakaria AAA, Ibrahim AAH. Ectopic Twin Pregnancy: A 
case report. Medical Research Updates 2024;1(2): 1-5. https://www.mruj.online/current-issue