Document Detail


Bilateral tubal ectopic pregnancies: a report of two cases.
MedLine Citation:
PMID:  22406672     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bilateral tubal ectopic pregnancies are rare occurrences. Two recently managed cases are discussed. The first was a single, sexually active 23-year-old nullipara with family history of twinning who presented with eight weeks amenorrhea, positive pregnancy test, lower abdominal discomfort and other clinical and ultrasound findings suggestive of unruptured left tubal pregnancy. Intra-operatively, unruptured bilateral tubal pregnancies were found and bilateral salpingotomy performed with uneventful recovery. Histology of the specimens confirmed the intra-operative diagnosis. She was appropriately counseled. Case 2, a 30-year-old multiparous housewife who had been on clomid for secondary infertility, presented with signs and symptoms of ruptured tubal ectopic. Intra-operatively, ruptured left and unruptured right tubal pregnancies were found and salpingectomy and salpingotomy were done respectively, with uneventful recovery. The diagnosis was also confirmed histologically and counseling given as in case 1. Bilateral tubal ectopic pregnancies appear to be increasing with twin proneness and use of fertility drugs as risk factors. Whether spontaneous or induced, the hallmarks of good management include early presentation, high index of suspicion, meticulous ultrasound scanning, good case selection, judicious intra-operative inspection of the contralateral tube, histology of specimens and appropriate patient counseling.
Authors:
Justus N Eze; Johnson A Obuna; Brown N Ejikeme
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Annals of African medicine     Volume:  11     ISSN:  0975-5764     ISO Abbreviation:  Ann Afr Med     Publication Date:    2012 Apr-Jun
Date Detail:
Created Date:  2012-03-12     Completed Date:  2012-07-30     Revised Date:  2012-08-03    
Medline Journal Info:
Nlm Unique ID:  101231417     Medline TA:  Ann Afr Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  112-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria. justndueze@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Fallopian Tubes / surgery*
Female
Humans
Pregnancy
Pregnancy Complications / surgery
Pregnancy, Ectopic / diagnosis,  surgery*
Pregnancy, Tubal / diagnosis,  surgery*
Salpingectomy
Treatment Outcome
Twins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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