LIVE UNILATERAL MONOCHORIONIC DIAMNIOTIC TWIN ECTOPIC GESTATIONS AT THE LEKMA HOSPITAL, TESHIE. ACCRA, GHANA – A CASE REPORT

Live unilateral twin ectopic gestations are a rare ultrasound finding with only 12 previous cases documented, none in Africa. This 13^th case highlights a 30 year old primigravida who presented with abdominal pain. Transabdominal ultrasound found live right adnexal monochorionic diamniotic twin ectopic gestations and 200 mls of free fluid in the pouch of Douglas. Laparotomy showed two gestational sacs within the right fimbria and a right Salpingectomy was performed with good maternal outcome. This case is different from most previous cases in having previous appendectomy as a risk factor and also for its use of transabdominal ultrasound. During transabdominal ultrasound, Sonologists must carefully evaluate any surgical scars and other risk factors, as these may raise the index of suspicion and lead to a prompt diagnosis of live unilateral monochorionic diamniotic twin ectopic gestations.