Spontaneous Bilateral Ectopic Pregnancy: A case report

Abstract

Abstract

Ectopic pregnancy (EP) is defined as the implantation of a fertilized ovum outside the normal endometrial cavity. Bilateral ectopic pregnancy is rare and occurs in 1 out of every 200,000 spontaneous pregnancies. A diagnosis of bilateral EP is usually made intraoperatively in developing countries. This is a 36-year-old G3P2 (2 alive) lady with two previous caesarean section admitted via the emergency unit with clinical features in keeping with EP.  Pelvic ultrasound showed only a left tubal gestation of gestational age of 7 weeks with an empty uterus and haemoperitoneum.  Laparotomy revealed right ruptured ampullary ectopic gestation and left intact tubal gestation with massive haemoperitoneum. Right and left salpingectomy were done and patient recovered well. Bilateral EP is rare but exists, therefore thorough inspection of the pelvis must be done during evaluation and surgical interventions so as not to miss it and to reduce morbidity and mortality associated with it.

Keywords: Bilateral ectopic pregnancy, Morbidity, Laparotomy, Salpingectomy