Bilateral tubal ectopic pregnancy following induction ovulation can be missed in emergent ultrasonography: Case report.

Autor:	Hoorshad N; Department of Obstetrics & Gynecology, Imam Khomeini Hospital complex, Tehran University of Medical sciences, Tehran, Iran. Electronic address: niloufarhoorshad@gmail.com., Tarafdari A; Department of Obstetrics & Gynecology, Imam Khomeini Hospital complex, Tehran University of Medical sciences, Tehran, Iran., Zamani N; Department of Gynecology Oncology, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran., Hasani SS; Department of Gynecology Oncology, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran., Pasikhani MD; Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics & Gynecology, Imam Khomeini Hospital complex, Tehran University of Medical sciences, Tehran, Iran.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Aug; Vol. 121, pp. 109863. Date of Electronic Publication: 2024 Jun 06.
DOI:	10.1016/j.ijscr.2024.109863
Abstrakt:	Introduction: Bilateral tubal ectopic pregnancy (BTP) is a rare and potentially life-threatening condition that is, often challenging to diagnose preoperatively. Presentation of Case: We present a case of BTP in a 25-year-old primigravid woman with a history of infertility due to polycystic ovarian syndrome. She was receiving letrozole when she presented with severe abdominal pain and vaginal bleeding. Initial evaluation revealed a ruptured ectopic pregnancy in the right fallopian tube, prompting an emergency laparotomy. During surgery, a second intact ectopic mass was discovered in the left fallopian tube, highlighting the diagnostic complexity of BTP. Management involved a salpingectomy on the right side and salpingostomy on the left to preserve fertility. Discussion: This case underscores the importance of considering BTP in the differential diagnosis of ectopic pregnancies and the necessity for thorough preoperative imaging studies, namely ultrasonography and surgical exploration, to prevent missed diagnoses. Conclusion: BTP is a rare and challenging clinical entity that requires a comprehensive approach to diagnosis and management. Early recognition, prompt intervention, and close surveillance are essential to mitigate the risk of maternal morbidity and mortality associated with this condition. Competing Interests: Conflict of interest statement All authors declare that there is no conflict of interest to disclose. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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