Unilateral Atraumatic Expulsion of an Ectopic Pregnancy in a Case of Bilateral Ectopic Pregnancy
Joint Authors
Sampson, Victoria
Mogekwu, Oluremi
Ahmed, Ammar
Bano, Farida
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-09-27
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Ectopic pregnancy occurs in 1-2% of pregnancies.
The fallopian tube is the most common site; however, bilateral tubal ectopic pregnancy is an extremely rare phenomenon, seen in approximately 1/200,000 pregnancies.
It is usually the result of assisted reproductive techniques (ART).
Ultrasound (USS) and serial beta-hCG levels have shown poor efficacy for accurate diagnosis.
Laparoscopy is the diagnostic gold standard.
The majority of cases are managed surgically with bilateral salpingectomy.
A 26-year-old female presented to our early pregnancy unit with pain and vaginal bleeding at 5-week gestation after IVF.
USS was inconclusive and her b-hCG levels rose with worsening pain; therefore, a decision was made for diagnostic laparoscopy.
Although there was a clear right sided ectopic pregnancy, the left tube was swollen and therefore a methylene blue dye test was carried out to confirm blockage.
Atraumatic milking, to expose the dye, expelled necrotic tissue which histology confirmed to be a second ectopic pregnancy.
She made a good recovery with falling beta-hCG levels and left tubal preservation.
As the use of ART increases, bilateral ectopic pregnancies will become more common.
Novel and established techniques should be used to help confirm the diagnosis and assist in tubal preservation.
American Psychological Association (APA)
Sampson, Victoria& Mogekwu, Oluremi& Ahmed, Ammar& Bano, Farida. 2017. Unilateral Atraumatic Expulsion of an Ectopic Pregnancy in a Case of Bilateral Ectopic Pregnancy. Case Reports in Obstetrics and Gynecology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147448
Modern Language Association (MLA)
Sampson, Victoria…[et al.]. Unilateral Atraumatic Expulsion of an Ectopic Pregnancy in a Case of Bilateral Ectopic Pregnancy. Case Reports in Obstetrics and Gynecology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1147448
American Medical Association (AMA)
Sampson, Victoria& Mogekwu, Oluremi& Ahmed, Ammar& Bano, Farida. Unilateral Atraumatic Expulsion of an Ectopic Pregnancy in a Case of Bilateral Ectopic Pregnancy. Case Reports in Obstetrics and Gynecology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147448
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147448