Bilateral tubal pregnancy. A report of an unusual case
Tabachnikoff, R.M.; Dada, M.O.; Woods, R.J.; Rohere, D.; Myers, C.P.
Journal of Reproductive Medicine 43(8): 707-709
1998
ISSN/ISBN: 0024-7758 PMID: 9749426 Document Number: 492462
BACKGROUND: Bilateral tubal pregnancies are area and are usually confirmed simultaneously during the same operation. We report a case in which the right salpingectomy was performed seven weeks before the left salpingectomy. When the right salpingectomy was done, the left uterine tube appeared entirely normal. CASE: A 38-year-old women underwent laparoscopic surgery for suspected right tubal pregnancy. A right tubal pregnancy was found to have partially aborted into the peritoneal cavity. The left uterine tube was carefully inspected and appeared normal. Histopathology of the right tube showed products of conception and chorionic tissues. Seven weeks after surgery, the women presented in hemorrhagic shock necessitating emergency laparotomy and left salpingectomy. Histopathology of the left tube confirmed the presence of chorionic tissue. The patient did not have coitus between the two salpingectomies. CONCLUSION: The explanation of the presentation is uncertain. However, this case underscores the importance of careful follow-up of patients after laparoscopic surgery for ectopic pregnancies.