Trefsgar Janelle R, Padgett William
Obstetrics and Gynecology, A.T. Still University, Mesa, USA.
Obstetrics and Gynecology, Southern Illinois Healthcare Foundation (SIHF) Healthcare, Olney, USA.
Cureus. 2024 Sep 5;16(9):e68742. doi: 10.7759/cureus.68742. eCollection 2024 Sep.
A bilateral ectopic pregnancy is a rare condition, and even more so with spontaneous conception. The known risk factors and clinical presentation are shared by both unilateral and bilateral ectopic pregnancy. This poses a risk for misdiagnosis, treatment failure, and, ultimately, maternal mortality. The current standard for diagnostics is not discernible for a bilateral ectopic pregnancy, thus, medical management tends to be sub-therapeutic. In fact, it is fairly common for the correct diagnosis and efficient treatment to be achieved by surgical intervention. As there are no established diagnostic or treatment guidelines for this rare condition, the possibility of a bilateral ectopic pregnancy should not be ruled out lightly.
双侧异位妊娠是一种罕见的情况,自然受孕时更是如此。单侧和双侧异位妊娠的已知危险因素和临床表现相同。这带来了误诊、治疗失败以及最终孕产妇死亡的风险。目前的诊断标准无法识别双侧异位妊娠,因此,药物治疗往往效果不佳。事实上,通过手术干预实现正确诊断和有效治疗是相当常见的。由于针对这种罕见情况没有既定的诊断或治疗指南,双侧异位妊娠的可能性不应轻易排除。