Extra-uterine twin pregnancy: case report of spontaneous bilateral tubal ectopic pregnancy.

Autor: Amine BH; Department of Gynecology and Obstetrics, Principal Military Hospital of Instruction of Tunis, Tunis, Tunisia., Haythem S; Department of Gynecology and Obstetrics, Principal Military Hospital of Instruction of Tunis, Tunis, Tunisia.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2015 Apr 30; Vol. 20, pp. 435. Date of Electronic Publication: 2015 Apr 30 (Print Publication: 2015).
DOI: 10.11604/pamj.2015.20.435.6338
Abstrakt: Spontaneous bilateral ectopic pregnancy is the rarest form of ectopic pregnancy. Bilateral tubal pregnancies in the absence of preceding induction of ovulation are a rare occurrence, with an estimated incidence of 1 in 725 to 1 in 1580 ectopicpregnancies. They are usually diagnosed at the time of surgery. We report a case of spontaneous bilateral tubal pregnancies diagnosed intraoperatively. A 33-year-old patient was admitted after light vaginal bleeding, 35 days after her last menstruation. A bilateral salpingectomy was performed without complication and the pathology report confirmed the diagnosis. This is an unusual case of early diagnosis. The diagnosis of bilateral tubal pregnancy is usually madeintraoperatively. This underscores the importance ofidentifying and closely examining both tubes at the time ofsurgery, even in the presence of significant adhesive disease.
Databáze: MEDLINE