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Double trouble: A case of bilateral tubal pregnancy

Christine Joy P. Chang, MD and Ma. Regale Noemi O. Sotto, MD, FPOGS, FPSRM, FPSGE
Department of Obstetrics and Gynecology, Quezon City General Hospital

Bilateral tubal pregnancy is the rarest form of ectopic pregnancy, and in most cases results from assisted reproductive techniques. The incidence of simultaneous bilateral tubal pregnancies has been reported to range from 1 per 725 to 1 per 1580 ectopic pregnancies or approximately corresponds to 1 per 200,000 pregnancies. To date, this is the only case reported in our institution. Bilateral tubal pregnancies are usually diagnosed intraoperatively, but with the advent of diagnostic tools and more readily available diagnostic modalities, an earlier diagnosis can be made to decrease maternal morbidity and mortality.

This is a case of a 24-year old female, who came in at the emergency room complaining of severe hypogastric pain. She was admitted as a case of ectopic pregnancy, probably ruptured. Subsequently, emergency exploratory laparotomy was done which revealed bilateral tubal masses, which on histopathological examination confirmed bilateral tubal pregnancy.