Gathura Josephine Eva, Elfeky Amro, McLaren Rodney, Herzog David, Grazi Richard
Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USA.
Case Rep Obstet Gynecol. 2021 Jun 19;2021:5588869. doi: 10.1155/2021/5588869. eCollection 2021.
Bilateral tubal ectopic pregnancies (BTP) are the rarest form of ectopic pregnancy. They are difficult to diagnose preoperatively, and an evidence-based guideline for management does not exist. In this report, we discuss a 35-year-old patient who presented with suspected right tubal ectopic pregnancy. BTP was diagnosed intraoperatively, and a laparoscopic bilateral salpingectomy was performed without complication. The diagnosis was subsequently confirmed by pathology. This case highlights the importance of patient counseling and comprehensive preoperative planning. Due to the poor presurgical diagnosis of BTP, patient counseling should include the possibility of BTP, appropriate options for management, and potential loss of fertility following treatment. In addition, all cases of suspected ectopic pregnancy necessitate a thorough preoperative investigation of bilateral adnexa and intraoperative inspection of the pelvis.
双侧输卵管异位妊娠（BTP）是异位妊娠最罕见的形式。术前难以诊断，且不存在基于证据的管理指南。在本报告中，我们讨论一名35岁疑似右侧输卵管异位妊娠的患者。术中诊断为BTP，并进行了腹腔镜双侧输卵管切除术，无并发症发生。随后病理证实了诊断。该病例突出了患者咨询和全面术前规划的重要性。由于BTP术前诊断不佳，患者咨询应包括BTP的可能性、合适的管理选择以及治疗后潜在的生育能力丧失。此外，所有疑似异位妊娠病例都需要对双侧附件进行全面的术前检查和术中盆腔检查。
