Benz Alicia M, Price Caitlin C, Ocon Fernando J
Obstetrics and Gynecology, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Houston, USA.
Obstetrics and Gynecology, HCA Houston Healthcare Southeast, Pasadena, USA.
Cureus. 2022 Sep 9;14(9):e28977. doi: 10.7759/cureus.28977. eCollection 2022 Sep.
A bilateral tubal ectopic pregnancy is the rarest form of extrauterine pregnancy and is extremely difficult to diagnose due to an initial presentation that is nearly indistinguishable from unilateral tubal ectopic pregnancy. We report a case of a 27-year-old primigravida woman who presented to our clinic with mild cramping and vaginal bleeding following the administration of clomiphene. Ultrasound confirmed the presence of a left-sided ectopic pregnancy. The patient underwent laparoscopy and was found to have a mass in the contralateral fallopian tube. Histologic evaluation of the specimens from both fallopian tubes confirmed the presence of a simultaneous bilateral tubal ectopic pregnancy. While no current guidelines exist for the management of bilateral ectopic pregnancies, we stress the importance of direct visualization of both fallopian tubes during laparoscopy for any suspected ectopic pregnancy.
双侧输卵管异位妊娠是宫外孕最罕见的形式，由于其最初的表现与单侧输卵管异位妊娠几乎无法区分，因此极难诊断。我们报告一例27岁初孕妇，在服用克罗米芬后出现轻度腹痛和阴道出血，前来我院就诊。超声检查证实左侧宫外孕。患者接受了腹腔镜检查，发现对侧输卵管有肿物。对双侧输卵管标本进行组织学评估，证实同时存在双侧输卵管异位妊娠。虽然目前尚无关于双侧异位妊娠管理的指南，但我们强调，对于任何疑似异位妊娠，在腹腔镜检查期间直接观察双侧输卵管的重要性。
