A 22-year-old nulliparous woman presented with left lower quadrant abdominal pain and vaginal bleeding. She had a human chorionic gonadotropin level of greater than 200,000 mIU/mL; a pelvic ultrasound raised concern about a ruptured ectopic pregnancy. She underwent an emergent laparoscopy, which revealed bilateral tubal pregnancies. We performed a left salpingectomy and a right linear salpingostomy.
Bilateral ectopic pregnancy is rare, accounting for 1 in 750 to 1 in 1580 ectopic pregnancies. Various therapies have been instituted in the setting of bilateral ectopic pregnancies. The majority of these are managed surgically with bilateral salpingectomy.1
Reference
- 1.Sommer EM, Reisenberger K, Bogner G, Nagele F. Laparoscopic management of an unrecognized spontaneous bilateral tubal pregnancy. Acta Obstet Gynecol Scand. 2002;81:366–368. doi: 10.1034/j.1600-0412.2002.810417.x. [DOI] [PubMed] [Google Scholar]