Open AccessA Rare Case of Spontaneous Bilateral Ruptured Tubal Ectopic Pregnancy
Author(s) -
Saumya Niviti,
Kairavi Harkishan Gokani
Publication year - 2019
Publication title -
journal of obstetrics and gynecology of india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 17
eISSN - 0971-9202
pISSN - 0975-6434
DOI - 10.1007/s13224-019-01206-6
Subject(s) - medicine , hemoperitoneum , ectopic pregnancy , emergency ultrasound , vaginal bleeding , obstetrics , amenorrhea , abdominal pain , salpingectomy , pregnancy , emergency department , surgery , heterotopic pregnancy , gestation , gynecology , ultrasonography , genetics , psychiatry , biology
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.