A case of bilateral tubal pregnancy

Publication date: Available online 6 July 2017 Source:Gynecology and Minimally Invasive Therapy Author(s): Ayano Funamizu, Atsushi Fukui, Rie Fukuhara, Asami Kobayashi, Hitomi Chiba, Yukiko Matsumura, Asami Ito, Hideki Mizunuma Bilateral tubal pregnancy is very rare and occurs in only 1 out of every 200,000 spontaneous pregnancies. In this case, a 29-year-old woman with a history of primary infertility underwent treatment with human menopausal gonadotropin (hMG)-human chorionic gonadotropin (hCG), and became pregnant. A gestational sac (GS) was not detected in the uterus and transvaginal ultrasonography (USG) revealed GS with fetal heartbeat in the left adnexa at 7 weeks and 6 days of gestation. The patient underwent laparoscopic surgery and ultimately, bilateral tubal pregnancy was diagnosed. Consequently, bilateral fallopian tube resection was performed. Afterwards, she conceived by assisted reproductive technology (ART) and delivered vaginally. This case suggests that even if a GS is found in one fallopian tube by USG, it is important to evaluate the other fallopian tube carefully.
Source: Gynecology and Minimally Invasive Therapy - Category: OBGYN Source Type: research