Spontaneous Bilateral Ectopic Pregnancy: A Case-Report.

BACKGROUND: Bilateral tubal pregnancies in the absence of preceding induction of ovulation are rare. They are usually diagnosed at the time of surgery.

CASE: We report a case of spontaneous bilateral tubal pregnancies diagnosed intraoperatively. A 28-year-old primigravida presented with light vaginal bleeding and abdominal pain 6 weeks after her last menstrual period. Her β-hCG level was 8,240 mIU/mL. Ultrasonography showed evidence of right tubal ectopic pregnancy. Laparoscopy revealed the presence of a simultaneous left tubal ectopic pregnancy. A bilateral laparoscopic salpingectomy was performed without complications, and the pathology report confirmed the diagnosis.

CONCLUSION: The diagnosis of bilateral tubal pregnancy is usually made intraoperatively, thus highlighting the importance of closely examining both tubes at the time of surgery, even in the presence of significant adhesive disease.