Bilateral tubal pregnancy: A diagnostic dilemma

Mandal, Rahul Deb; Ghosh, Sandip; Mitra, Sukumar; Basak, Avijit; Naskar, Prasun; Seth, Kousik; Halder, Atin

doi:10.4236/ojog.2013.39116

Cited by 5 publications

(8 citation statements)

References 3 publications

(2 reference statements)

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“…Simultaneous rupture of tubes is even rarer. Twin tubal pregnancy with both embryos in the same tube as well as with one in each tube has also been stated [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Bilateral Tubal Gestation: A Rare Case Report

Marwah

Gupta

2016

Case Reports in Obstetrics and Gynecology

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Here a case is presented where the woman after a positive pregnancy test underwent medical abortion for unwanted pregnancy without ultrasound confirmation of intrauterine pregnancy. On persistence of symptoms, a second opinion was procured, when examination and a transvaginal ultrasound scan revealed ruptured unilateral tubal ectopic pregnancy. However upon subsequent laparotomy (considering deteriorating hemodynamic status of the patient), intraoperatively it turned out to be a bilateral tubal ectopic gestation.

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“…Simultaneous rupture of tubes is even rarer. Twin tubal pregnancy with both embryos in the same tube as well as with one in each tube has also been stated [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Bilateral Tubal Gestation: A Rare Case Report

Marwah

Gupta

2016

Case Reports in Obstetrics and Gynecology

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“…[ 6 ] The diagnostic criteria for bilateral tubal pregnancy were first laid out by Fishback who suggested that there should be a description of fetal parts or fetus as well as placental parts from both the tubes. [ 7 ] This was later modified by Norris, who stated that microscopic demonstration of chorionic villi in both tubes was sufficient for the diagnosis. Thus, in most cases, the diagnosis remains essentially surgical.…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 ] It should be included in the differential diagnosis of acute abdominal pain presenting days, or, as in some cases, weeks following treatment for a presumed singleton ectopic pregnancy. [ 7 ] The clinical presentation of bilateral ectopic pregnancy is unpredictable. [ 8 ] It bears no unique clinical features to distinguish it from a unilateral ectopic pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, bilateral ectopic pregnancy is mostly encountered unsuspected at laparotomy. [ 7 ] Conservation of fertility becomes an issue as bilateral salpingectomy is often required in the presence of rupture of both fallopian tubes. [ 7 ] Effort should be made to see the integrity of contralateral adnexa on ultrasound in all cases of ectopic pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case report

et al. 2021

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Ectopic pregnancy complicates 0.25%–2% of all pregnancies and is one of the most common causes of first-trimester maternal mortality in developing countries due to late diagnosis. Spontaneous ruptured bilateral tubal ectopic pregnancies are extremely rare, with very limited data on its occurrence in the literature. In a spontaneous conception, the preoperative diagnosis is difficult to make but an important one to consider at surgery for presumed unilateral tubal ectopic pregnancy because missing the diagnosis can lead to mortality. We report a case of a 38-year-old multipara with a history of amenorrhea of 8 weeks and 2 days and complaints of vaginal spotting of 4-day duration and sudden onset of abdominal pain of 4 h before presentation. On admission, a preoperative diagnosis of ruptured left tubal ectopic pregnancy was made following ultrasound findings of left adnexal mass and hemoperitoneum. However, both fallopian tubes were found to harbor ectopic gestational sac with bleeding rents on the tubal walls at surgery. She subsequently had exploratory laparotomy and bilateral salpingectomy with good outcome. In low-resource settings, ectopic pregnancy is associated with poor maternal outcome due to late presentation. Diagnosis of ruptured bilateral tubal ectopic pregnancy is difficult before surgery. Therefore, examination of both tubes at laparotomy for ectopic pregnancy should be routine and mandatory to avoid missing the diagnosis.

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“…Bilateral salpingectomy as means to manage bilateral tubal ectopic were reported in the following cases reported. 6,9,[14][15][16][17][18] Bilateral salpingostomy was performed with the goal of preserving fertility in the following cases reported. 10,12,[19][20] Salpingectomy of one tube and salpingostomy of other tube was performed in the following cases reported.…”

Section: Discussionmentioning

confidence: 99%

An increasing trend of bilateral tubal ectopic gestation reported over the past two decades: a case report and review of literature

Ahuja¹,

Mehta²,

Goel³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Bilateral tubal ectopic pregnancies which are spontaneously conceived are of rare occurrences. Generally, they are diagnosed intra-operatively. There are no guidelines published till date for their management. There has been a reported increase in the incidence of such cases. We present a review of such cases reported over the last two decades and report a similar case which presented to our hospital with acute abdomen and USG suggested hemo-peritoneum with further intraoperative diagnosis of bilateral tubal ectopic managed by left salpingectomy and right salpingostomy

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Bilateral tubal pregnancy: A diagnostic dilemma

Cited by 5 publications

References 3 publications

Spontaneous Bilateral Tubal Gestation: A Rare Case Report

Spontaneous Bilateral Tubal Gestation: A Rare Case Report

Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case report

An increasing trend of bilateral tubal ectopic gestation reported over the past two decades: a case report and review of literature

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