A Case Report of Heterochronic Presentation of a Bilateral Tubal Pregnancy

Overview

Journal Clin Case Rep

Date 2023 Oct 30

PMID 37900710

Authors

Zeinab Mansouri

Azam Tarafdari

Sepideh Azizi

Bahareh Mehdikhani

Amirali Shababi

Farzad Vaghef Davari

Affiliations

Soon will be listed here.

Abstract

Key Clinical Message: This paper highlights that diagnosis and treatment of one ectopic pregnancy does not rule out the happening of a second ectopic pregnancy in the same patient concurrently, especially if the patient has rising β-hCG and persistent symptoms.

Abstract: Bilateral tubal pregnancy (BTP) is the most uncommon form of tubal ectopic pregnancy. Complications can lead to maternal morbidity and mortality. We reported a case of left tubal pregnancy and the patient underwent laparoscopic salpingostomy. During the follow-up, the contralateral ectopic pregnancy was discovered and treated with MTX.

Citing Articles

A case report of heterochronic presentation of a bilateral tubal pregnancy.

Mansouri Z, Tarafdari A, Azizi S, Mehdikhani B, Shababi A, Vaghef Davari F Clin Case Rep. 2023; 11(11):e8072.

PMID: 37900710 PMC: 10600360. DOI: 10.1002/ccr3.8072.

References

. Ectopic pregnancy--United States, 1990-1992. MMWR Morb Mortal Wkly Rep. 1995; 44(3):46-8. View

Abrams R, KANTER A . Bilateral simultaneous extrauterine pregnancy. Am J Obstet Gynecol. 1948; 56(6):1198-1200. DOI: 10.1016/s0002-9378(48)90376-7. View

. ACOG Practice Bulletin No. 191: Tubal Ectopic Pregnancy. Obstet Gynecol. 2017; 131(2):e65-e77. DOI: 10.1097/AOG.0000000000002464. View

Mansouri Z, Tarafdari A, Azizi S, Mehdikhani B, Shababi A, Vaghef Davari F . A case report of heterochronic presentation of a bilateral tubal pregnancy. Clin Case Rep. 2023; 11(11):e8072. PMC: 10600360. DOI: 10.1002/ccr3.8072. View

Funamizu A, Fukui A, Fukuhara R, Kobayashi A, Chiba H, Matsumura Y . A case of bilateral tubal pregnancy. Gynecol Minim Invasive Ther. 2018; 6(4):191-192. PMC: 6135196. DOI: 10.1016/j.gmit.2017.05.003. View

van Mello N, Mol F, Opmeer B, de Bekker-Grob E, Essink-Bot M, Ankum W . Salpingotomy or salpingectomy in tubal ectopic pregnancy: what do women prefer?. Reprod Biomed Online. 2010; 21(5):687-93. DOI: 10.1016/j.rbmo.2010.06.034. View

Edelstein M, Morgan M . Bilateral simultaneous tubal pregnancy: case report and review of the literature. Obstet Gynecol Surv. 1989; 44(4):250-2. View

Bouyer J, Coste J, Fernandez H, Pouly J, Job-Spira N . Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Hum Reprod. 2002; 17(12):3224-30. DOI: 10.1093/humrep/17.12.3224. View

Barnhart K, Sammel M, Gracia C, Chittams J, Hummel A, Shaunik A . Risk factors for ectopic pregnancy in women with symptomatic first-trimester pregnancies. Fertil Steril. 2006; 86(1):36-43. DOI: 10.1016/j.fertnstert.2005.12.023. View

10.

Mol F, van Mello N, Strandell A, Strandell K, Jurkovic D, Ross J . Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial. Lancet. 2014; 383(9927):1483-1489. DOI: 10.1016/S0140-6736(14)60123-9. View

11.

Li W, Wang G, Lin T, Sun W . Misdiagnosis of bilateral tubal pregnancy: a case report. J Med Case Rep. 2014; 8:342. PMC: 4198979. DOI: 10.1186/1752-1947-8-342. View

12.

Rani V R S, Puliyath G . Viable intrauterine pregnancy after spontaneous bilateral tubal ectopics in a multiparous woman: a case report. J Med Case Rep. 2013; 7:159. PMC: 3693925. DOI: 10.1186/1752-1947-7-159. View

13.

Martinez J, Cabistany A, Gonzalez M, Gil O, Farrer M, Romero J . Bilateral simultaneous ectopic pregnancy. South Med J. 2009; 102(10):1055-7. DOI: 10.1097/SMJ.0b013e3181b67378. View

14.

. Medical treatment of ectopic pregnancy. Fertil Steril. 2008; 90(5 Suppl):S206-12. DOI: 10.1016/j.fertnstert.2008.08.049. View

15.

Acet F, Goker E, Hortu I, Sahin G, Tavmergen E . A Rare Case of Bilateral Tubal Ectopic Pregnancy Following Intracytoplasmic Sperm Injection-Embryo Transfer (ICSI-ET). Rev Bras Ginecol Obstet. 2020; 42(3):165-168. PMC: 10316848. DOI: 10.1055/s-0040-1708093. View

16.

Yao M, Tulandi T . Current status of surgical and nonsurgical management of ectopic pregnancy. Fertil Steril. 1997; 67(3):421-33. DOI: 10.1016/s0015-0282(97)80064-7. View

17.

De Los Rios J, Castaneda J, Miryam A . Bilateral ectopic pregnancy. J Minim Invasive Gynecol. 2007; 14(4):419-27. DOI: 10.1016/j.jmig.2007.01.011. View

18.

Xu H . A spontaneous bilateral tubal pregnancy: A case report. Medicine (Baltimore). 2018; 97(38):e12365. PMC: 6160232. DOI: 10.1097/MD.0000000000012365. View

19.

Ankum W, Mol B, van der Veen F, Bossuyt P . Risk factors for ectopic pregnancy: a meta-analysis. Fertil Steril. 1996; 65(6):1093-9. View

20.

Kumar Jena S, Singh S, Nayak M, Das L, Senapati S . Bilateral Simultaneous Tubal Ectopic Pregnancy: A Case Report, Review of Literature and a Proposed Management Algorithm. J Clin Diagn Res. 2016; 10(3):QD01-3. PMC: 4843335. DOI: 10.7860/JCDR/2016/16521.7416. View