title: [Spontaneous bilateral tubal pregnancy following caesarean section].
abstract: We describe a rare case of bilateral tubal pregnancy following natural conception in a woman with no other known risk factor than two former caesarean sections. Intraabdominal adhesions following the caesarean sections complicated the salpingectomy thus diminishing certainty of a healthy contralateral tube. The woman was readmitted three weeks later and had an additional salpingectomy on behalf of an unrecognized tubal pregnancy. Considering the rising caesarean section rates clinicians need to be certain of no additional ectopic pregnancy while performing the primary operation.
authors.affiliation: Gynækologisk-obstetrisk Afdeling, Nordsjællands Hospital, Dyrehavevej 29, 3400 Hillerød. jesperfriis@dadlnet.dk.
authors.forename: Jesper Friis
authors.initials: JF
authors.lastname: Petersen
authors.forename: Charlotte
authors.initials: C
authors.lastname: Ekelund
authors.forename: Annette
authors.initials: A
authors.lastname: Settnes
mesh_terms: D000328:Adult; D017604:Cesarean Section, Repeat / Q000009:adverse effects; D005260:Female; D006801:Humans; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012307:Risk Factors; D058994:Salpingectomy; D014463:Ultrasonography