Abstract
Objective: Discuss the approach taken by the medical team in a case of ectopic twin pregnancies with live embryos, which is a rare report, with little published literature, in addition to discussing the characteristics of ectopic and twin pregnancies. Case details: Reports the case of a third child, without risk factors, with ectopic twin-tube ectopic pregnancy with the presence of fetal cardiac activity detectable in both embryos. The diagnosis was concluded by means of transvaginal ultrasound where laparotomy with salpingectomy was performed as a therapeutic measure. Final considerations: Ectopic pregnancy (EG) is an increasingly frequent obstetric complication, due to the higher prevalence of its risk factors, thus becoming a public health problem. Unilateral twin GE with live embryos is a rare event, with an incidence of 1: 250,000. The publication of new cases allows the evolution in the understanding of the pathology, its diagnostic and therapeutic investigation.