title: Spontaneous Bilateral Ectopic Pregnancy: A Case-Report.
abstract: BACKGROUND
  Bilateral tubal pregnancies in the absence of preceding induction of ovulation are rare. They are usually diagnosed at the time of surgery.
  
  
  METHODS
  We report a case of spontaneous bilateral tubal pregnancies diagnosed intraoperatively. A 28-year-old primigravida presented with light vaginal bleeding and abdominal pain 6 weeks after her last menstrual period. Her β-hCG level was 8,240 mIU/mL. Ultrasonography showed evidence of right tubal ectopic pregnancy. Laparoscopy revealed the presence of a simultaneous left tubal ectopic pregnancy. A bilateral laparoscopic salpingectomy was performed without complications, and the pathology report confirmed the diagnosis.
  
  
  CONCLUSIONS
  The diagnosis of bilateral tubal pregnancy is usually made intraoperatively, thus highlighting the importance of closely examining both tubes at the time of surgery, even in the presence of significant adhesive disease.
authors.forename: Elias D
authors.initials: ED
authors.lastname: Abi Khalil
authors.forename: Sami M
authors.initials: SM
authors.lastname: Mufarrij
authors.forename: Gaby N
authors.initials: GN
authors.lastname: Moawad
authors.forename: Imad S
authors.initials: IS
authors.lastname: Mufarrij
mesh_terms: D015746:Abdominal Pain; D000328:Adult; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011274:Pregnancy, Tubal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D058994:Salpingectomy; D014463:Ultrasonography; D014592:Uterine Hemorrhage
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human