Spontaneous bilateral ectopic pregnancy--an rare and dangerous occurrence

D. Rabinerson, B. Kaplan, Z. Ben Rafael, A. Dekel

Research output: Contribution to journalArticlepeer-review

Abstract

Bilateral, spontaneous ectopic pregnancy is rare (1 in 125-1580 ectopic pregnancies). We describe a 30-year-old, unmarried woman with no predisposing factors for ectopic pregnancy who presented in hypovolemic shock, in the 7th week of gestation, complaining of abdominal pain. On immediate laparoscopy there were found blood and clots in the abdominal cavity, a left ampullar pregnancy (5 cm in diameter), and there was active bleeding from the fimbria of the right tube. Bilateral salpingectomy was performed and she received 3 units of packed red cells. She was discharged in good condition 3 days later. The pathologic diagnosis was pregnancy in each tube. This case emphasizes the need for thorough sonographic and laparoscopic observation in order not to miss the presence of bilateral ectopic pregnancy.

Original languageEnglish
Pages (from-to)8-9, 87
JournalHarefuah
Volume138
Issue number1
StatePublished - 2 Jan 2000
Externally publishedYes

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