Document Detail

Spontaneous bilateral tubal pregnancies: a case report.
MedLine Citation:
PMID:  18198068     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Bilateral tubal pregnancies in the absence of preceding induction of ovulation are a rare occurrence, with an estimated incidence of 1 in 725 to 1 in 1580 ectopic pregnancies. They are usually diagnosed at the time of surgery. CASE: We report a case of spontaneous bilateral tubal pregnancies diagnosed intraoperatively. Conservative laparoscopic tubal surgery was used to treat the ectopic pregnancies. The patient returned with signs of a persistent ectopic pregnancy and was subsequently treated with methotrexate with resolution of symptoms and normalization of hCG levels. CONCLUSION: The diagnosis of bilateral tubal pregnancy is usually made intraoperatively. This underscores the importance of identifying and closely examining both tubes at the time of surgery, even in the presence of significant adhesive disease.
James Andrews; Scott Farrell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  30     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-16     Completed Date:  2008-03-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  51-4     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Dalhousie University, IWK Health Centre, Halifax NS.
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MeSH Terms
Abortifacient Agents, Nonsteroidal / therapeutic use
Methotrexate / therapeutic use
Pregnancy, Tubal / drug therapy,  surgery*
Treatment Outcome
Reg. No./Substance:
0/Abortifacient Agents, Nonsteroidal; 59-05-2/Methotrexate

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

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