SPONTANEOUS BILATERAL TUBAL ECTOPIC PREGNANCY

Abstract

Bilateral spontaneous tubal pregnancy is the rarest form of ectopic pregnancy. Bilateral tubal pregnancy in the absence of proceeding ovulation induction is rare, with an incidence of 1 in 725 to 1 in 1580 ectopic pregnancies. Preoperative diagnosis is difficult because ultrasound has its limitations. They are usually diagnosed at the time of surgery. We report a case of spontaneous bilateral tubal pregnancy. A 35 years old patient with parity 3 and 1 abortion was admitted with the complaint of pain in lower abdomen with vaginal bleeding for 1 month. Laparotomy was done for the diagnosis of single ectopic pregnancy but diagnosis of bilateral tubal pregnancy was made intraoperatively. Bilateral salpingectomy was performed without complication and histopathology report confirmed the diagnosis. This highlights the importance of closely examining both tubes at the time of surgery in order to prevent maternal morbidity and mortality