Spontaneous bilateral tubal ectopic pregnancy: A case report

Unilateral tubal ectopic pregnancies (UTEP) are commonly encountered by physicians. Bilateral tubal ectopic pregnancies (BTEPs), however, are rare and due to the identical clinical presentations of BTEP and UTEP, there is a significant degree of diagnostic difficulty for the former, requiring a high index of suspicion. It should be considered a possibility in any newly pregnant woman of child-bearing age. The purpose of this article is to provide the reader with an example of a clinical presentation of BTEP, and a discourse on management of these patients. We present a case of a 27-year-old patient, who was seen at the emergency department of the Queen Elizabeth Hospital, Barbados, with signs and symptoms of a ruptured ectopic pregnancy. Intraoperative findings included a ruptured left ectopic pregnancy and an intact right fallopian tubal ectopic pregnancy. Left salpingectomy and right salpingostomy were performed, conserving the intact tube; her recovery was solely complicated by a superficial surgical site infection.