Twin interstitial ectopic pregnancy following ipsilateral tubal pregnancy: a case report

Twin tubal pregnancy is a rare occurrence, particularly in spontaneous gestations. Although interstitial pregnancies are more common after ipsilateral salpingectomy, early diagnosis is challenging. The best therapeutic approach is yet to be determined, but surgery, when indicated, offers a definitive treatment. Cornuostomy presents the advantage of removing the ectopic pregnancy while preserving uterine architecture and maintaining fertility. This case report states the relevance of early pregnancy assessment in women with risk factors for ectopic pregnancy. If performing surgery as treatment, it is advisable to adopt less invasive approaches such as cornuostomy. Also, one cannot forget the importance of maintaining a good hemostasis, considering the bleeding potential associated with this type of pregnancy.