Spontaneous bilateral tubal pregnancy.
With the increase in incidence of ectopic pregnancy over the decades, bilateral ectopic pregnancy is also increasing. It is usually associated with assisted reproductive techniques (ART) but in recent years few cases of spontaneous bilateral ectopic pregnancy have been reported. Gynaecologists should be aware of this and that ultrasonography has limitations in diagnosis. In cases of ectopic pregnancy where contralateral adnexa is not clearly identified on ultrasound and fertility needs to be conserved, patient should be managed by experts in well equipped centres. A case of spontaneous bilateral tubal pregnancy that remained undiagnosed till laparotomy, is described.
Department of Obstetrics and Gynaecology, The Aga Khan University Hospital, Karachi, Pakistan. aisha.wali@aku.edu
Aisha Syed
AS
Wali
Rozilla Sadia
RS
Khan
D003376:Counseling; D005187:Fallopian Tubes / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007813:Laparotomy / Q000379:methods; D010298:Parity; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000601:surgery; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D035583:Rare Diseases; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery; D058994:Salpingectomy / Q000379:methods; D014463:Ultrasonography; D055815:Young Adult