Published: 2016-12-14

A rare case of spontaneous simultaneous bilateral tubal ectopic pregnancy

Hemant Shintre, Vilas Dhanu, Ranjana Dhanu


Ectopic pregnancy is still an important cause of maternal mortality. The incidence of ectopic pregnancies is reported to be rising. Spontaneous bilateral tubal ectopic pregnancy in the absence of preceding induction of ovulation is extremely unusual occurrence and is the rarest form of ectopic pregnancy. The estimated incidence is 1 in 725 to 1580 of all ectopic corresponding to one per 200000 live births. The preoperative diagnosis of bilateral ectopic pregnancy remains a challenge. Serum β-hCG, TVS, color Doppler help making diagnosis of ectopic pregnancy but laparoscopy is gold standard diagnostic modality. The diagnosis of bilateral tubal pregnancy is usually made intra-operatively. This underscores the importance of identifying and closely examining both tubes at the time of surgery, even in the presence of significant adhesive disease. Salpingostomy, salpingotomy, salpingectomy, segmental resection, fimbrial expression are the operative modalities described for management of ectopic pregnancy.


Bilateral, β-hCG, Ectopic, Laparoscopy, Salpingectomy

Full Text:



Andrews J, Farrell S. Spontaneous bilateral tubal pregnancies: a case report. Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC. 2008;30(1):51-4.

Shetty JP, Shetty B, Makkanavar JH, Chandrika. A rare case of bilateral tubal pregnancy. Journal of the Indian Medical Association. 2011;109(7):506-7.

Greenberg JA. Bilateral ectopic pregnancy. Reviews in obstetrics and gynecology. 2008;1(2):48.

Amine BH, Haythem S. Extra-uterine twin pregnancy: case report of spontaneous bilateral tubal ectopic pregnancy. The Pan African medical journal. 2015;20:435.

Eze JN, Obuna JA, Ejikeme BN. Bilateral tubal ectopic pregnancies: a report of two cases. Annals of African medicine. 2012;11(2):112-5.

Sentilhes L, Bouet PE, Jalle T, Boussion F, Lefebvre-Lacoeuille C, Descamps P. Ultrasound diagnosis of spontaneous bilateral tubal pregnancy. The Australian and New Zealand journal of obstetrics and gynaecology. 2009;49(6):695-6.

Kelly AJ SM, Trinder J. The management of tubal pregnancy. RCOG press: London 2004.

Fukuda T, Inoue H, Toyama Y, Ichida T, Uzawa Y, Monma M. Bilateral tubal and intrauterine pregnancies diagnosed at laparoscopy. The journal of obstetrics and Gynaecology research. 2014;40(10):2114-7.

Mol F, van Mello NM, Strandell A, Strandell K, Jurkovic D, Ross J. Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicenter, randomised controlled trial. Lancet. 2014;383(9927):1483-9.

Rani VRS, Puliyath G. Viable intrauterine pregnancy after spontaneous bilateral tubal ectopics in a multiparous woman: a case report. Journal of medical case reports. 2013;7:159.

Hoffmann S, Abele H, Bachmann C. Spontaneous Bilateral Tubal Ectopic Pregnancy: Incidental Finding During Laparoscopy - Brief Report and Review of Literature. Geburtshilfe und Frauenheilkunde. 2016;76(4):413-6