SPONTANEOUS BILATERAL TUBAL PREGNANCY: A CASE REPORT

Abstract

ABSTRACT
BACKGROUND: Ectopic pregnancy is implantation outside the uterine cavity and its one of obstetrics emergency and it is among the common causes of maternal death in the first trimester of pregnancy. It complicates up to 2% of all pregnancies, but bilateral tubal pregnancies are among the rarest medical occurrence and its incidence 1 in 1580 to 1 in 200,000 pregnancies. CASE: This is a case report of a 38-year-old woman who presented with lower abdominal pain and vaginal bleeding of 3 days. She had left sided unruptured tubal ectopic and right sided ruptured tubal ectopic pregnancy . Trans abd ominal Ultrasonography revealed a 5 X 3cm left ad nexal mass suggestive of ectopic pregnancy, uterine cavity was empty and free fluid was seen in the pelvis and paracolic gutter. The diagnosis of bilateral tubal ectopic was made intraoperatively. Bilateral salpingectomy was performed. Histopathology examination confirmed bilateral tubal ectopic pregnancy. CONCLUSION: It is very important to carefully review both adnexa during sonographic evaluation and when exploratory laparotomy or laparoscopy is undertaken for ectopic pregnancy.
KEYWORDS: Pregnancy, tubal, ectopic, bilateral, salpingectomy