Department of Gynaecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
BMC Pregnancy Childbirth. 2022 Feb 10;22(1):110. doi: 10.1186/s12884-022-04453-0.
Bilateral simultaneous fallopian tubal pregnancy is one of the rarest forms of ectopic pregnancy. Due to the lack of unique features and clinical presentation to distinguish bilateral from unilateral ectopic pregnancy, challenges the diagnosis.
A 27-year-old Asian woman presented with pelvic pain and vaginal bleeding. Pelvic transvaginal ultrasound showed fluid in Douglas Pouch and posterior fornix puncture revealed unclotted blood. Laparoscopic examination unveiled bilateral ectopic pregnancy with two corpus luteum visible in the right ovary, suggesting a double spontaneous unilateral ovulation. Bilateral fallopian tube fenestration and embryo extraction were performed to preserve fertility.
Diagnosis of bilateral tubal pregnancy is difficult during preoperative ultrasound examination and careful examination during laparoscopic inspection of the whole pelvic cavity to avoid missed diagnosis.
双侧同时性输卵管妊娠是宫外孕中最罕见的一种形式。由于双侧与单侧宫外孕缺乏独特的特征和临床表现来加以区分，这给诊断带来了挑战。
一名 27 岁亚裔女性因盆腔疼痛和阴道出血就诊。盆腔经阴道超声显示道格拉斯窝有液体，后穹窿穿刺抽出不凝血液。腹腔镜检查发现双侧宫外孕，右侧卵巢可见两个黄体，提示双侧自发单侧排卵。行双侧输卵管开窗术和胚胎取出术以保留生育能力。
术前超声检查和腹腔镜仔细检查整个盆腔时，双侧输卵管妊娠的诊断较为困难，以避免漏诊。
