title: Spontaneous bilateral tubal ectopic pregnancy.
abstract: A 28-year-old woman presented at eight weeks and four days of gestation, according to her menstrual dates, complaining of painless vaginal bleeding for three days. Her urinary pregnancy test was positive. Initial transvaginal ultrasound demonstrated an irregular complex structure with a fluid filled centre in the right adnexum. Despite the diagnosis of a possible underlying unruptured right tubal ectopic pregnancy, she declined surgical intervention and was managed expectantly as an inpatient. When she complained of increasing abdominal pain with haemodynamic instability, an emergency laparotomy was performed and a diagnosis of bilateral tubal ectopic pregnancy was made.
authors.affiliation: De Soyza Hospital for Women, Colombo, Sri Lanka. jeevanmarasinghe@yahoo.com
authors.forename: Jeevan P
authors.initials: JP
authors.lastname: Marasinghe
authors.forename: George
authors.initials: G
authors.lastname: Condous
authors.forename: W I
authors.initials: WI
authors.lastname: Amarasinghe
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood; D002824:Chorionic Villi / Q000473:pathology*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006439:Hemodynamics; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors; D014463:Ultrasonography
chemical_list: D006063:Chorionic Gonadotropin