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Case Reports
. 2021 Apr 23:38:395.
doi: 10.11604/pamj.2021.38.395.28771. eCollection 2021.

Spontaneous bilateral tubal ectopic pregnancy: a case report

Michael Nyakura  1 , Felix Godwin Mhlanga  2 , Mugove Madziyire  2 , Sitshengiso Matshalaga  3
Affiliations
Case Reports

Spontaneous bilateral tubal ectopic pregnancy: a case report

Michael Nyakura et al. Pan Afr Med J. .

Abstract

Bilateral tubal ectopic pregnancy is a very rare form of extra-uterine pregnancy with high maternal morbidity and mortality if intervention is delayed. We report the case of a 27-year-old para 2 gravida 3 patient who presented in haemorrhagic shock after delayed diagnosis of ectopic pregnancy. An ultrasound scan noted a right tubal ectopic pregnancy. At laparotomy, bilateral ruptured tubal ectopic pregnancy was encountered and bilateral salpingectomy was done as both tubes were not salvageable. She recovered completely postoperatively and histology confirmed bilateral tubal ectopic pregnancies. Bilateral tubal ectopic pregnancy may not be easily diagnosed on a scan; hence vigilance at surgery is critical to prevent maternal mortality.

Keywords: Spontaneous; bilateral; case report; ectopic pregnancy; ruptured.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
bilateral ruptured ampullary ectopic pregnancy at laparotomy, L-left, R-right tubal ectopic pregnancy
Figure 2
Figure 2
histology of the left fallopian tube; A) left fallopian tube-luminal blood clot with single chorionic villus at upper left corner, magnification X 40; B) chorionic villus in cross section showing immature (embryonic) mesenchyme core with surface trophoblast, background shows red blood cells, magnification X 400
Figure 3
Figure 3
histology of the right fallopian tube, right fallopian tube wall (upper left) with luminal blood clot and two degenerative chorionic villi, magnification X 40
See this image and copyright information in PMC

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