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Extra-uterine twin pregnancy: case report of spontaneous bilateral tubal ectopic pregnancy.

Amine BH, Haythem S - Pan Afr Med J (2015)

Bottom Line: A 33-year-old patient was admitted after light vaginal bleeding, 35 days after her last menstruation.This is an unusual case of early diagnosis.This underscores the importance ofidentifying and closely examining both tubes at the time ofsurgery, even in the presence of significant adhesive disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Obstetrics, Principal Military Hospital of Instruction of Tunis, Tunis, Tunisia.

ABSTRACT
Spontaneous bilateral ectopic pregnancy is the rarest form of ectopic pregnancy. Bilateral tubal pregnancies in the absence of preceding induction of ovulation are a rare occurrence, with an estimated incidence of 1 in 725 to 1 in 1580 ectopicpregnancies. They are usually diagnosed at the time of surgery. We report a case of spontaneous bilateral tubal pregnancies diagnosed intraoperatively. A 33-year-old patient was admitted after light vaginal bleeding, 35 days after her last menstruation. A bilateral salpingectomy was performed without complication and the pathology report confirmed the diagnosis. This is an unusual case of early diagnosis. The diagnosis of bilateral tubal pregnancy is usually madeintraoperatively. This underscores the importance ofidentifying and closely examining both tubes at the time ofsurgery, even in the presence of significant adhesive disease.

No MeSH data available.


Related in: MedlinePlus

Bilateral tubal pregnancy
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Figure 0001: Bilateral tubal pregnancy

Mentions: The patient was counselled concerning the possibility of anectopic pregnancy, and informed consent for laparotomy exploration with the possible need for salpingostomy orsalpingectomy was obtained. Emergency exploratory laparotomy revealed haemoperitoneum of approximately 2000 mL. There was a ruptured fimbrial ectopic pregnancy with active bleeding on the right side. The left tube showed an intact ectopic pregnancy 10 cm in the ampullary region that was bleeding and forming an organized haematoma at the fimbrial end (Figure 1). We considered it possible that the patient had bilateral spontaneous ectopic pregnancies and In view of these findings, we decided to perform bilateral retrograde salpingectomy. The patient received 2 units of type O Rh negative blood. Postoperative follow-up was uneventful and the patient was discharged on the 5th day post-operation. The pathology report confirmed the diagnosis of spontaneous bilateral tubal pregnancies, showing blood clot admixed with chorionic villi in the tissue removed from the right tube. The tissue obtained from the left tube showed multiple fragments of fetal tissue, including the vertebral column, neurological structures, liver, intestine, umbilical cord, and chorionic villi.


Extra-uterine twin pregnancy: case report of spontaneous bilateral tubal ectopic pregnancy.

Amine BH, Haythem S - Pan Afr Med J (2015)

Bilateral tubal pregnancy
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4537914&req=5

Figure 0001: Bilateral tubal pregnancy
Mentions: The patient was counselled concerning the possibility of anectopic pregnancy, and informed consent for laparotomy exploration with the possible need for salpingostomy orsalpingectomy was obtained. Emergency exploratory laparotomy revealed haemoperitoneum of approximately 2000 mL. There was a ruptured fimbrial ectopic pregnancy with active bleeding on the right side. The left tube showed an intact ectopic pregnancy 10 cm in the ampullary region that was bleeding and forming an organized haematoma at the fimbrial end (Figure 1). We considered it possible that the patient had bilateral spontaneous ectopic pregnancies and In view of these findings, we decided to perform bilateral retrograde salpingectomy. The patient received 2 units of type O Rh negative blood. Postoperative follow-up was uneventful and the patient was discharged on the 5th day post-operation. The pathology report confirmed the diagnosis of spontaneous bilateral tubal pregnancies, showing blood clot admixed with chorionic villi in the tissue removed from the right tube. The tissue obtained from the left tube showed multiple fragments of fetal tissue, including the vertebral column, neurological structures, liver, intestine, umbilical cord, and chorionic villi.

Bottom Line: A 33-year-old patient was admitted after light vaginal bleeding, 35 days after her last menstruation.This is an unusual case of early diagnosis.This underscores the importance ofidentifying and closely examining both tubes at the time ofsurgery, even in the presence of significant adhesive disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Obstetrics, Principal Military Hospital of Instruction of Tunis, Tunis, Tunisia.

ABSTRACT
Spontaneous bilateral ectopic pregnancy is the rarest form of ectopic pregnancy. Bilateral tubal pregnancies in the absence of preceding induction of ovulation are a rare occurrence, with an estimated incidence of 1 in 725 to 1 in 1580 ectopicpregnancies. They are usually diagnosed at the time of surgery. We report a case of spontaneous bilateral tubal pregnancies diagnosed intraoperatively. A 33-year-old patient was admitted after light vaginal bleeding, 35 days after her last menstruation. A bilateral salpingectomy was performed without complication and the pathology report confirmed the diagnosis. This is an unusual case of early diagnosis. The diagnosis of bilateral tubal pregnancy is usually madeintraoperatively. This underscores the importance ofidentifying and closely examining both tubes at the time ofsurgery, even in the presence of significant adhesive disease.

No MeSH data available.


Related in: MedlinePlus