Bilateral tubal ectopic gestation: Complication in a patient with previous ectopic pregnancy, rare case report

Kyejo, Willbroad; Rubagumya, Davis; Fidaali, Zainab; Jusabani, Ahmed; Kaguta, Munawar; Jaiswal, Shweta

doi:10.1016/j.ijscr.2022.107470

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…In these situations, the experience and skill of the sonographer is important for early diagnosis before diagnostic surgery. Sonographers should be aware of this fault that diagnosing in one side of adnexa shouldn’t satisfy the sonographer from additional evaluation and searching the contralateral adnexum [ 15 ]. Thankful for the proficiency and conversance of our radiologist, we were able to suspect a bilateral tubal pregnancy preoperatively.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous bilateral tubal ectopic pregnancy preoperatively diagnosed by the ultrasound: a case report

Eghbali

Azari

Jafarizadeh

et al. 2023

BMC Pregnancy Childbirth

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Background Bilateral ectopic pregnancy is extremely rare, with a tremendous maternal mortality and morbidity risk, requiring rapid diagnosis and management. This condition is usually diagnosed during surgery, as radiologists may not pay enough attention to the contralateral side of interest. Therefore, reminding of this rare but emergent situation can be beneficial for both radiologists and gynecologists. Here we report a case of bilateral ectopic pregnancy, which was first diagnosed with ultrasound and was confirmed during laparoscopy. Case presentation A 34 years old woman complaining of light vaginal bleeding at 6 weeks of gestation by her last menstrual period presented to our institute. The serum β-HCG levels were analyzed and followed during patient’s admission. Unfortunately, serum levels weren’t decreasing and blood test titration before surgery were as: 851,894,975 IU/l (checked daily and not every 48 h because of patient’s status and being bilateral). There was no evidence of intrauterine pregnancy at the transvaginal ultrasound, but heterogeneous adnexal masses were seen at both adnexa, suspected of bilateral ectopic pregnancy. She underwent laparoscopic exploration, which confirmed the diagnosis. Bilateral salpingostomy was done to preserve fertility, and the patient’s recovery was uneventful. Conclusions Even with a unilateral report of ectopic pregnancy preoperatively in ultrasonography, surgeons should always be aware of the probability of bilateral ectopic pregnancies anytime facing susceptible cases, especially in patients with known risk factors. Also, it is an important reminder for radiologists to check both adnexa when facing a unilateral adnexal mass resembling ectopic pregnancy.

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Section: Discussionmentioning

confidence: 99%

Spontaneous bilateral tubal ectopic pregnancy preoperatively diagnosed by the ultrasound: a case report

Eghbali

Azari

Jafarizadeh

et al. 2023

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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Spontaneous bilateral tubal pregnancy - case report and review of diagnostic and treatment difficulties

Bila,

Dotlic,

Jovanovic

et al. 2023

Srp Arh Celok Lek

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Introduction. Spontaneous bilateral ectopic pregnancy is a rare condition easily overlooked or misdiagnosed. We present a case of spontaneous bilateral tubal ectopic pregnancy and discuss the difficulties in diagnosing and treatment of such patients. Case outline. A 39-years-old patient with history of irregular and abundant menstrual cycles complained on pelvic pain and light bleeding after 55 days of amenorrhea. Ultrasound revealed enlarged uterus with a myoma and a heterogenic formation with echogenic ring sign beside the left ovary. Free fluid with cloths was present in the pelvis. As the patient was hemodynamically unstable and ectopic pregnancy was suspected emergency laparotomy was performed. During surgery we found that both tubes were significantly edematous, dilated and livid in their ampullary regions. On the left tube anterior wall rupture 15 ? 8 mm was noticeable, while right tube was intact with bleeding from its abdominal ostium. Even though the patient was not informed about the possibility of bilateral salpingectomy, after thorough consideration and due to the extent of tubal damage bilateral salpingectomy was eventually performed. Histopathological analysis confirmed presence of decidua, partially viable and partially necrotic chorionic villi and trophoblastic tissue in both left and right tube. Conclusions. Careful preoperative and intraoperative examination of both Fallopian tubes as well as the whole abdominal and pelvic cavity should be mandatory during every assessment of patients with ectopic pregnancy.

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Bilateral tubal ectopic gestation: Complication in a patient with previous ectopic pregnancy, rare case report

Cited by 2 publications

References 6 publications

Spontaneous bilateral tubal ectopic pregnancy preoperatively diagnosed by the ultrasound: a case report

Spontaneous bilateral tubal ectopic pregnancy preoperatively diagnosed by the ultrasound: a case report

Spontaneous bilateral tubal pregnancy - case report and review of diagnostic and treatment difficulties

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