Simultaneous bilateral tubal ectopic pregnancy is a rare entity. The reported incidence ranges between 1 in 725 to 1 in 1580 of all ectopic pregnancies, and it is higher in women undergoing assisted reproductive techniques or ovulation induction. Its spontaneous appearance is almost exceptional. There are no unique features in clinical presentation helping to distinguish it from unilateral ectopic pregnancy. This makes the pre-operative diagnosis difficult, so it’s commonly made during surgery. Whether the ectopic pregnancy is spontaneous or induced, fast management is essential and includes early diagnosis, detailed ultrasound scan, careful contralateral tube control, and also specimen’s histological verification. Thus the treatment will depend on the hemodynamic stability of the patient, the extent of tube damage, as well as the desire for future pregnancies. We report a case of 40 year old patient, gravida 1 without any ectopic pregnancy risk factors, who suffered from abdominal pain and vaginal bleeding at 8 gestation weeks. Endovaginal ultrasound detected adnexal ruptured mass in the right fallopian tube. Urgent laparotomy was performed for suspicious ruptured ectopic pregnancy. A right and left ruptured ectopic pregnancy were found during operation. Bilateral salpingectomy is done and patient is discharged from hospital 3 days later without complications.
| Published in | Journal of Gynecology and Obstetrics (Volume 9, Issue 1) |
| DOI | 10.11648/j.jgo.20210901.11 |
| Page(s) | 1-4 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Ectopic Pregnancy, Ruptured Fallopian Tube, Bilateral Salpingectomy
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APA Style
Zidane Farah, Cherkaoui Malki Nivine, Sebti Mamoun, Yousfi Mounia, Bargach Samir. (2021). Spontaneous and Simultaneous Bilateral Ruptured Tubal Ectopic Pregnancy: A Case Report. Journal of Gynecology and Obstetrics, 9(1), 1-4. https://doi.org/10.11648/j.jgo.20210901.11
ACS Style
Zidane Farah; Cherkaoui Malki Nivine; Sebti Mamoun; Yousfi Mounia; Bargach Samir. Spontaneous and Simultaneous Bilateral Ruptured Tubal Ectopic Pregnancy: A Case Report. J. Gynecol. Obstet. 2021, 9(1), 1-4. doi: 10.11648/j.jgo.20210901.11
AMA Style
Zidane Farah, Cherkaoui Malki Nivine, Sebti Mamoun, Yousfi Mounia, Bargach Samir. Spontaneous and Simultaneous Bilateral Ruptured Tubal Ectopic Pregnancy: A Case Report. J Gynecol Obstet. 2021;9(1):1-4. doi: 10.11648/j.jgo.20210901.11
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Download@article{10.11648/j.jgo.20210901.11,
author = {Zidane Farah and Cherkaoui Malki Nivine and Sebti Mamoun and Yousfi Mounia and Bargach Samir},
title = {Spontaneous and Simultaneous Bilateral Ruptured Tubal Ectopic Pregnancy: A Case Report},
journal = {Journal of Gynecology and Obstetrics},
volume = {9},
number = {1},
pages = {1-4},
doi = {10.11648/j.jgo.20210901.11},
url = {https://doi.org/10.11648/j.jgo.20210901.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210901.11},
abstract = {Simultaneous bilateral tubal ectopic pregnancy is a rare entity. The reported incidence ranges between 1 in 725 to 1 in 1580 of all ectopic pregnancies, and it is higher in women undergoing assisted reproductive techniques or ovulation induction. Its spontaneous appearance is almost exceptional. There are no unique features in clinical presentation helping to distinguish it from unilateral ectopic pregnancy. This makes the pre-operative diagnosis difficult, so it’s commonly made during surgery. Whether the ectopic pregnancy is spontaneous or induced, fast management is essential and includes early diagnosis, detailed ultrasound scan, careful contralateral tube control, and also specimen’s histological verification. Thus the treatment will depend on the hemodynamic stability of the patient, the extent of tube damage, as well as the desire for future pregnancies. We report a case of 40 year old patient, gravida 1 without any ectopic pregnancy risk factors, who suffered from abdominal pain and vaginal bleeding at 8 gestation weeks. Endovaginal ultrasound detected adnexal ruptured mass in the right fallopian tube. Urgent laparotomy was performed for suspicious ruptured ectopic pregnancy. A right and left ruptured ectopic pregnancy were found during operation. Bilateral salpingectomy is done and patient is discharged from hospital 3 days later without complications.},
year = {2021}
}
TY - JOUR T1 - Spontaneous and Simultaneous Bilateral Ruptured Tubal Ectopic Pregnancy: A Case Report AU - Zidane Farah AU - Cherkaoui Malki Nivine AU - Sebti Mamoun AU - Yousfi Mounia AU - Bargach Samir Y1 - 2021/01/15 PY - 2021 N1 - https://doi.org/10.11648/j.jgo.20210901.11 DO - 10.11648/j.jgo.20210901.11 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 1 EP - 4 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20210901.11 AB - Simultaneous bilateral tubal ectopic pregnancy is a rare entity. The reported incidence ranges between 1 in 725 to 1 in 1580 of all ectopic pregnancies, and it is higher in women undergoing assisted reproductive techniques or ovulation induction. Its spontaneous appearance is almost exceptional. There are no unique features in clinical presentation helping to distinguish it from unilateral ectopic pregnancy. This makes the pre-operative diagnosis difficult, so it’s commonly made during surgery. Whether the ectopic pregnancy is spontaneous or induced, fast management is essential and includes early diagnosis, detailed ultrasound scan, careful contralateral tube control, and also specimen’s histological verification. Thus the treatment will depend on the hemodynamic stability of the patient, the extent of tube damage, as well as the desire for future pregnancies. We report a case of 40 year old patient, gravida 1 without any ectopic pregnancy risk factors, who suffered from abdominal pain and vaginal bleeding at 8 gestation weeks. Endovaginal ultrasound detected adnexal ruptured mass in the right fallopian tube. Urgent laparotomy was performed for suspicious ruptured ectopic pregnancy. A right and left ruptured ectopic pregnancy were found during operation. Bilateral salpingectomy is done and patient is discharged from hospital 3 days later without complications. VL - 9 IS - 1 ER -
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