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Case Reports
. 2016 Mar;10(3):QD01-3.
doi: 10.7860/JCDR/2016/16521.7416. Epub 2016 Mar 1.

Bilateral Simultaneous Tubal Ectopic Pregnancy: A Case Report, Review of Literature and a Proposed Management Algorithm

Saubhagya Kumar Jena  1 , Sweta Singh  1 , Monalisha Nayak  2 , Leena Das  2 , Swagatika Senapati  3
Affiliations
Case Reports

Bilateral Simultaneous Tubal Ectopic Pregnancy: A Case Report, Review of Literature and a Proposed Management Algorithm

Saubhagya Kumar Jena et al. J Clin Diagn Res. 2016 Mar.

Abstract

Bilateral simultaneous Tubal Ectopic Pregnancy (BTP) is the rarest form of ectopic pregnancy. The incidence is higher in women undergoing assisted reproductive techniques or ovulation induction. The clinical presentation is unpredictable and there are no unique features to distinguish it from unilateral ectopic pregnancy. BTP continues to be a clinician's dilemma as pre-operative diagnosis is difficult and is commonly made during surgery. Treatment options are varied depending on site of ectopic pregnancy, extent of tubal damage and requirement of future fertility. We report a case of BTP which was diagnosed during surgery and propose an algorithm for management of such patients.

Keywords: Bilateral ectopic pregnancy; Salpingectomy; salpingostomy; β-hCG.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Uterus with right fallopian tube showing ampullary ectopic pregnancy and active bleeding from its fimbrial end (right sided tubal abortion) (arrow) and an unruptured left tubal pregnancy (dashed arrow).
[Table/Fig-2]:
[Table/Fig-2]:
Histopathology of POC: a) from right tube; and b) from left tube showing chorionic villi diagnostic of bilateral tubal ectopic pregnancy; POC- products of conception
[Table/Fig-3]:
[Table/Fig-3]:
Algorithm for management of suspected Bilateral Tubal ectopic Pregnancy (BTP)
See this image and copyright information in PMC

References

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