Tabachnikoff R M, Dada M O, Woods R J, Rohere D, Myers C P
Department of Gynecology, Moncrief Army Community Hospital, Columbia, USA.
J Reprod Med. 1998 Aug;43(8):707-9.
Bilateral tubal pregnancies are rare and are usually confirmed simultaneously during the same operation. We report a case in which the right salpingectomy was performed seven weeks before the left salpingectomy. When the right salpingectomy was done, the left uterine tube appeared entirely normal.
A 38-year-old woman underwent laparoscopic surgery for suspected right tubal pregnancy. A right tubal pregnancy was found to have partially aborted into the peritoneal cavity. The left uterine tube was carefully inspected and appeared normal. Histopathology of the right tube showed products of conception and chorionic tissue. Seven weeks after surgery, the woman presented in hemorrhagic shock necessitating emergency laparotomy and left salpingectomy. Histopathology of the left tube confirmed the presence of chronic tissue. The patient did not have coitus between the two salpingectomies.
The explanation of the presentation is uncertain. However, this case underscores the importance of careful follow-up of patients after laparoscopic surgery for ectopic pregnancies.
双侧输卵管妊娠较为罕见，通常在同一手术中同时确诊。我们报告一例病例，其中右侧输卵管切除术在左侧输卵管切除术七周前进行。当进行右侧输卵管切除术时，左侧输卵管外观完全正常。
一名38岁女性因疑似右侧输卵管妊娠接受腹腔镜手术。发现右侧输卵管妊娠已部分流产至腹腔。对左侧输卵管进行了仔细检查，外观正常。右侧输卵管的组织病理学检查显示有妊娠产物和绒毛膜组织。手术后七周，该女性出现失血性休克，需要紧急剖腹手术并进行左侧输卵管切除术。左侧输卵管的组织病理学检查证实存在陈旧性组织。在两次输卵管切除术之间，患者未发生性行为。
该病例的表现原因尚不确定。然而，此病例强调了对异位妊娠腹腔镜手术后患者进行仔细随访的重要性。
