Bilateral ectopic pregnancy: a case report

Introduction

Bilateral tubal pregnancy is the rarest form of ectopic pregnancy. It occurs frequently at women after undergoing assisted reproduction procedures.

Objective

The aim of this study is to insist at importance of ultrasonography exam on bilateral ectopic pregnancy diagnosis

Case(s)

We present a case of a 23 years primigravida with previous history of right tubal pregnancy treated conservatively. Patient presented as 6 weeks ectopic pregnancy with abdominal pain for 2 days. Serial serum beta subunit of human chorionic gonadotropin was at 3206 mUI/ml. The diagnosis of bilateral ectopic pregnancy was made from data of the ultrasound examination: trans-vaginal ultrasound revealed empty uterus with left and right tubo-ovarian hypoechoeic masses. There was also minimal collection of fluid in cul-de-sac.
A laparoscopic surgery had been performed. It concluded at a bilateral ectopic pregnancy. It was done a conservative treatment for left ectopic pregnancy and and a salpingectomy for the right one.

Conclusion

The diagnosis of the bilateral ectopic pregnancy is difficult.A high index of suspicion for pregnancy is required to avoid missing an ectopic bilateral pregnancy. Ultrasound examination could help the diagnosis.

Keywords

Ectopic pregnancy; ultrasound examination