Abstract
Background. The incidence of unilateral twin ectopic
pregnancy is a rare condition. Several factors increase the risk
of ectopic pregnancy, the most important of which is pelvic
inflammatory disease, followed by operative trauma, congenital
anomalies, tumors, and adhesions resulting in anatomically
distorted fallopian tubes. We present a case of a woman with a
history of four confirmed sexually transmitted infections (STIs)
including Chlamydia trachomatis, Neisseria gonorrhoeae,
herpes simplex virus 2, and Treponema pallidum. The case
illustrates the potential impact of sexually transmitted
infections (STIs) on the risk of a twin ectopic pregnancy.
Case. A 24-year-old primigravida, presented with an
unknown last menstrual period, lower abdominal pain, watery
vaginal discharge, and vaginal spotting. During this
hospitalization, serum