A Rare Case of Spontaneous Bilateral Ruptured Tubal Ectopic Pregnancy

Abstract

Bilateral tubal ectopic pregnancy is very rare, spontaneous cases being exceptional. Here, the authors report a case of spontaneous bilateral tubal ectopic pregnancy of 10-weeks gestation diagnosed and managed at Bharatratna Dr. Babasaheb Ambedkar Municipal and General Hospital, Kandivali, Mumbai. A 29-year-old, G2P1L1 patient presented in the emergency department with 3-months amenorrhea, abdominal pain and vaginal bleeding. Urine pregnancy test was positive, and an emergency ultrasound done revealed bilateral tubal ectopic pregnancies of 10-weeks size with hemoperitoneum. Emergency exploration was done, and a right-sided ruptured ampullary ectopic pregnancy with a left-sided ruptured fimbrial ectopic pregnancy was found with hemoperitoneum. Bilateral salpingectomy was performed, and patient recovered well postoperatively.

See Figs 1 and 2.

Fig. 1.

Ultrasound showing two fetuses with CRL corresponding to 10.3 and 10.1 weeks in right and left adnexa, respectively

Fig. 2.

Intraoperative picture showing the two fetuses extruding out attached to their SACS with the umbilical cord

Dr. Saumya Niviti

has done her M.B.B.S. from Lokmanya Tilak Municipal Medical College & Hospital, Mumbai. She passed M.S. Obstetrics and Gynecology from Topiwala National Medical College & B.Y.L. Nair Charitable Hospital, Mumbai. She was working as a Speciality Medical Officer in the department of Obstetrics & Gynecology, Bharatratna Dr. Babasaheb Ambedkar Municipal & General Hospital, Mumbai.

Compliance with Ethical Standards

Conflict of interest

Dr. Saumya Niviti and Dr. Kairavi Harkishan Gokani declare that they have no conflict of interest.