Two-step diagnosis of bilateral ectopic pregnancy afterin vitro fertilization

Hugues, Jean‐Noël; Olszewska, Bozena; Dauvergne, Patrick; Bulwa, Sylvie; Cédrin‐Durnerin, Isabelle

doi:10.1007/bf02211150

Cited by 8 publications

(5 citation statements)

References 6 publications

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“…A high index of suspicion and careful examination of the contra lateral tube are necessary for diagnosis of bilateral ectopic pregnancy intra-operatively 11,14,15 . This is more so as the preoperative diagnosis with ultrasound scan is unreliable 16,17 , with only very few reported cases diagnosed by preoperative ultrasound scanning 2 . Our patient was diagnosed intraoperatively in line with the fact that preoperative diagnosis is uncommon.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous bilateral ruptured and unruptured tubal ectopic pregnancies: a case report and literature review from Niger Delta Nigeria

Ekine¹,

Ep²

2014

Inte. Jour. of Medi. Res. & Health Sci.

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Historically ectopic pregnancy and it`s complications account for the most leading cause of first trimester maternal deaths in the world. Bilateral tubal pregnancies in the absence of a preceding induction of ovulation (or tubal manipulation for assisted conception) are very rare occurrences and are associated with high potentials for causing maternal mortality. We herein report an uncommon mode of presentation of an ectopic pregnancy in a multi-parous woman, with a spontaneous bilateral tubal pregnancy. The Patient presented in shock, which was caused by a ruptured right ampullary tubal ectopic pregnancy with massive haemoperitoneum. During a life saving emergency exploratory laparotomy which showed a ruptured right ectopic pregnancy, an enlarged unruptured left ampullary mass highly suspicious of ectopic pregnancy was also removed. Both tubal pathologies were confirmed as ectopic gestations histopathologically. This case underscores the variety of such occurrences, a high index of suspicion, judicious intra-operative inspection of the contra lateral tube and histopathological evaluation of the specimens.

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Section: Discussionmentioning

confidence: 99%

Spontaneous bilateral ruptured and unruptured tubal ectopic pregnancies: a case report and literature review from Niger Delta Nigeria

Ekine¹,

Ep²

2014

Inte. Jour. of Medi. Res. & Health Sci.

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“…Epidemiológicamente, como ya mencionamos, es un hecho infrecuente. Clíni-camente se confunde al reproducir el cuadro del ectópico unilateral (13), la ecotomografía no es de gran ayuda y los niveles de β-hCG plasmática no han demostrado ser útiles para diferenciar entre ambos cuadros (18,19).…”

Section: Discussionunclassified

“…Por ello es que durante la cirugía se deben examinar cuidadosamente ambas trompas y de preferencia toda el área pélvica antes de proceder a la salipingectomía (16,17,18). Recomendamos realizar un seguimiento estricto y seriado, tanto clínico como con β-hCG plasmática evitando así el paso inadvertido de cuadro contralateral.…”

Section: Discussionunclassified

Embarazo Ectópico Tubario Bilateral: Reporte De Un Caso

et al. 2005

Rev. chil. obstet. ginecol.

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“…1 The β‐hCG levels are not useful for distinguishing bilateral ectopic pregnancy from unilateral ectopic pregnancy. 3–5 Therefore, the diagnosis of bilateral ectopic pregnancy is usually an unexpected peroperative finding during surgery for suspected unilateral ectopic pregnancy 3,6 , 7…”

Section: Discussionmentioning

confidence: 99%

“…Frequently, as in our patient, tubal distension varies considerably between both tubes. 1 There are several reports describing repeat surgery for an overlooked contralateral tubal pregnancy because of differences in pathological presentation 3,11 …”

Section: Discussionmentioning

confidence: 99%

Bilateral tubal pregnancy and laparoscopic bilateral salpingotomy

2000

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Objective To consider whether laparoscopic bilateral salpingotomy can be effective in the management of bilateral simultaneous tubal pregnancy. Design A case report. Subject A 24‐year‐old Indian woman, gravida 2 para 1, with pelvic pain at 5 weeks' gestation. Interventions The patient had conceived with an ovulation induction regimen. Pelvic examination and ultrasonography suggested an ectopic pregnancy. Laparoscopy revealed bilateral simultaneous tubal pregnancy. Conservative treatment through bilateral linear salpingotomy was carried out and pathological investigation confirmed the presence of chorionic villi in both tubes. Results The postoperative clinical course was uneventful and β‐human chorionic gonadotrophin levels dropped satisfactorily. The patient required no further treatment. Comment Correctly performed laparoscopic bilateral salpingotomy can be effective in the management of bilateral simultaneous tubal pregnancy.

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Two-step diagnosis of bilateral ectopic pregnancy afterin vitro fertilization

Cited by 8 publications

References 6 publications

Spontaneous bilateral ruptured and unruptured tubal ectopic pregnancies: a case report and literature review from Niger Delta Nigeria

Spontaneous bilateral ruptured and unruptured tubal ectopic pregnancies: a case report and literature review from Niger Delta Nigeria

Embarazo Ectópico Tubario Bilateral: Reporte De Un Caso

Bilateral tubal pregnancy and laparoscopic bilateral salpingotomy

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