Bilateral ectopic pregnancy after transfer of two embryos.
OBJECTIVE
To report a case of bilateral tubal ectopic pregnancy (EP) after the transfer of two embryos.


METHODS
Case report.


METHODS
University hospital.


METHODS
A 43-year-old multigravida with bilateral tubal pregnancy.


METHODS
Operative laparoscopy with right linear salpingostomy and left salpingectomy.


METHODS
Laparoscopy revealed an unruptured left isthmic tubal EP and an unruptured right ampullary tubal EP.


RESULTS
Pathology confirmed immature placental villi in the right tube and placental tissue in the left tube. The patient was discharged home without incident on the day after surgery.


CONCLUSIONS
This is a rare case of bilateral tubal pregnancy after the transfer of only two embryos. It is critical to perform a close inspection of the abdomen, pelvis, and contralateral tube after surgery for EP.
Klipstein
S
S
Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA. skipste@caregroup.harvard.edu
Oskowitz
S P
SP
D000328:Adult; D002824:Chorionic Villi / Q000473:pathology; D004624:Embryo Transfer; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010920:Placenta / Q000473:pathology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000473:pathology / Q000601:surgery*; D011272:Pregnancy, Multiple; D012489:Salpingostomy