Bilateral Tubal Pregnancy without Known Risk Factor

Abstract EN

Spontaneous bilateral ectopic gestation is very rare.

The authors report a case diagnosed and taken care of at Yalgado Ouedraogo Teaching Hospital, Ouagadougou.

It was a 30-year-old patient with no known pathological history.

She had presented at the obstetric emergencies with a state of hypovolemic shock by haemoperitoneum with digestive disorders, pelvic pain, vaginal bleeding, and a mention of delayed menstruation.

The ultrasound coupled with the urinary immunological pregnancy test confirmed the diagnosis of ruptured ectopic pregnancy and a bilateral form was suspected.

A laparotomy in emergency confirmed the diagnosis of bilateral ectopic gestation with a right ampullary unruptured pregnancy and a left isthmic ruptured gestation.

A bilateral salpingectomy was performed and counseling was made for the use of medical help of procreation in case of future need of pregnancy.