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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (1): 168-170    DOI: 10.12891/ceog4471.2019
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Misdiagnosis of spontaneous bilateral tubal pregnancy: a case report and review of literature
H. Bakhsh1, *()
1 Clinical Science Department, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
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Purpose of Investigation: Spontaneous bilateral tubal ectopic pregnancy (BTP) is the rarest form of ectopic pregnancy. Materials and Methods: A case of BTP diagnosed during surgery is reported and an algorithm has been proposed for the management of such patients. It is a case of a 32-year-old female at gestational age of nine weeks with spontaneous pregnancy reported vaginal bleeding. Results: The case describes the importance of identifying and examining both tubes at laparoscopy, despite the rarity of bilateral extra-uterine pregnancy. Emergency exploratory laparotomy revealed ruptured ectopic pregnancy along with active bleeding of the right tube (fimbrial region). The left tube was distended with a 3 × 4-cm mass at the fimbrial region. Conclusion: Bilateral conservative surgery is possible with unruptured ectopic tubal pregnancy.
Key words:  Bilateral ectopic pregnancy      Bilateral extra-uterine pregnancy      Contralateral salpingestomy      Exploratory laparotomy      Misdiagnosis      Unilateral salpingectomy     
Published:  10 February 2019     
*Corresponding Author(s):  H. BAKHSH     E-mail:

Cite this article: 

H. Bakhsh. Misdiagnosis of spontaneous bilateral tubal pregnancy: a case report and review of literature. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 168-170.

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[1] F. Li, R. Yin, H. Jiang, G. Luo. Adult vaginal foreign body misdiagnosed as cervical cancer: a case report and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(3): 476-478.
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