Bilateral simultaneous tubal pregnancy

Fishback, Hamilton R.

doi:10.1016/s0002-9378(39)90245-0

Cited by 44 publications

(20 citation statements)

References 5 publications

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“…The criteria required a description of the fetuses, or any portion of them, as well as a description of placental material. 6 In 1953, Norris revised these criteria and broadened the definition, stating that the presence of chorionic villi in each tube should be sufficient to justify the diagnosis. 7 Andrews J reported a case of spontaneous bilateral tubal pregnancy diagnosed intra-operatively.…”

Section: Discussionmentioning

confidence: 99%

Concurrent bilateral ectopic pregnancy: a rarity

Kaur

Miglani

Kadam

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

Concurrent bilateral ectopic pregnancy: a rarity

Kaur

Miglani

Kadam

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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“…Laparoscopy is the gold standard for diagnosis of ectopic pregnancy, including BTP. The criteria for diagnosis of BTP were first suggested by Fishback [11] and later revised by Norris [12] who stated that microscopic demonstration of chorionic villi in each tube was sufficient for the diagnosis. A histopathological examination is essential to confirm the diagnosis, with the identification, at least, of chorionic villi in both tubes.…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of bilateral tubal pregnancy: a case report

et al. 2014

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IntroductionThe incidence of bilateral tubal pregnancy is rising due to the increase of pelvic inflammatory disease and assisted reproductive techniques. Because the clinical manifestations of bilateral tubal pregnancy are not specific, we often ignore inspection of the other fallopian tube when focusing on the lesions, which may cause misdiagnosis.Case presentationA 33-year-old Chinese woman presented with vaginal bleeding after menopause and with an abnormality found by transvaginal ultrasound scan for which she underwent laparoscopy and salpingectomy. Unfortunately, she had to undergo a repetitive laparoscopic salpingotomy for the other tubal pregnancy due to misdiagnosis of her bilateral tubal pregnancy.ConclusionsThe incidence of unusual presentations of ectopic pregnancies has risen. Surgeons should always keep in mind the possibility of bilateral tubal pregnancy. An attentive examination of the pelvis, especially the two fallopian tubes, is necessary to avoid missing bilateral tubal pregnancy.

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“…6 Ectopic pregnancies initiating during a woman's natural cycle, and those that are a result of ART, are caused by different pathophysiologic mechanisms. Precedent tubal disease is a common risk factor for both primary and secondary bilateral ectopic pregnancies, and may be found in 12% of patients undergoing IVF-ET for tubal reasons.…”

Section: Discussionmentioning

confidence: 99%

Incidental Laparoscopic Diagnosis of a Concurrent Contralateral Ectopic Pregnancy in a Donor Egg Recipient with Left Tubal Gestation

Bharathi¹,

BettaiahRamesh²,

SaraogiReshu³

2014

Journal of Gynecologic Surgery

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Background: Bilateral tubal pregnancy is a rare clinical condition. Unrecorded data have impeded a true calculation of the actual rate of incidence of this entity. Case: A 39-year-old nulliparous woman conceived in the fourth cycle of in vitro fertilization treatment, and presented to Dr. Ramesh Hospital after 5 weeks of amenorrhea, with lower abdominal pain and vaginal bleeding. Clinical examination revealed tenderness in the lower abdomen. Serum beta human chorionic gonadotropin concentration was 2606 milli-international units (mIU)/ mL. Transvaginal ultrasound examination revealed an empty uterus, a complex lesion in the left adnexa, and moderate intraperitoneal fluid suggestive of a ruptured ectopic pregnancy. Laparoscopy disclosed ectopic pregnancies in both the tubes, and bilateral salpingectomy was performed. Results: The postoperative period until discharge was uneventful, and, subsequently, the patient was lost to follow-up. Conclusions: Although the incidence of bilateral tubal pregnancy is not high, sonologists and surgeons should carefully examine both adnexae, especially in patients who conceive after in vitro fertilization and embryo transfer. Early diagnosis reduces maternal morbidity and mortality. Laparoscopy is the gold standard for both diagnosis and treatment of bilateral tubal pregnancy. Medical management can be offered if an accurate diagnosis is made by ultrasound preoperatively. Bilateral salpingostomy is another option if ovulation induction and/or intrauterine insemination have to be considered in the future. ( J GYNECOL SURG 30:236)

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Bilateral simultaneous tubal pregnancy

Cited by 44 publications

References 5 publications

Concurrent bilateral ectopic pregnancy: a rarity

Concurrent bilateral ectopic pregnancy: a rarity

Misdiagnosis of bilateral tubal pregnancy: a case report

Incidental Laparoscopic Diagnosis of a Concurrent Contralateral Ectopic Pregnancy in a Donor Egg Recipient with Left Tubal Gestation

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