Title: Bilateral simultaneous ectopic pregnancy: case report
Authors: Roughaya Teyib Sidi Ebatt; Hajar Kandoussi; Nada douraidi ,Amina Lakhedar,Najia Zeraidi,Aziz Baydada
Volume: 8
Issue: 7
Pages: 30-34
Publication Date: 2024/07/28
Abstract:
Bilateral simultaneous ectopic pregnancy is a rare clinical event, involving two distinct patient groups: those conceiving naturally and those undergoing assisted reproduction techniques [1] . It is more prevalent among women undergoing assisted reproductive techniques or ovulation induction. Clinical manifestations are uncertain, lacking distinct characteristics to differentiate it from unilateral ectopic pregnancy [2]. Bilateral ectopic pregnancy poses significant risks of maternal mortality and morbidity, requiring prompt diagnosis and treatment. It is usually identified during surgery, as radiologists may not fully assess the opposite side [3]. Management strategies are contingent upon various factors such as patient stability and future fertility intentions. In the examined case studies, treatment frequently involved the administration of methotrexate, bilateral salpingectomy, or a blend of unilateral salpingectomy and unilateral salpingostomy. Additionally, there have been instances where "milking" the fallopian tube was employed to promote the expulsion of ectopic pregnancy tissue [4, 5].