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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2017, Number 3

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An Med Asoc Med Hosp ABC 2017; 62 (3)

Spontaneous tubal bilateral ectopic pregnancy

Benardete HDN, Meraz ÁD, Álvarez VR, Rubio TF

Language: Spanish
References: 16
Page: 208-212
PDF size: 486.40 Kb.


ABSTRACT

We report a case of ectopic tubaric bilateral pregnancy. Given the low frequency of the disease whose incidence ranges between 1 in 725 to 1 in 1,580 of all ectopic pregnancies. The factor that most often has been associated with bilateral ectopic pregnancy is the reproductive assisted therapy as a treatment for infertility, and its spontaneous appearance is almost exceptional. The case is of a 31 year old patient without any ectopic pregnancy risk factors who begins suffering from abdominal pain accompanied by nausea, vomiting, poor transvaginal bleeding, tachycardia and hypotension. Endovaginal ecocardiogram is done which suggests right broken tubaric ectopic pregnancy, it is scheduled for laparoscopy founding right ruptured tubarian ectopic pregnancy and left non ruptured ectopic pregnancy. Bilateral salpingostomy is done and the patient is discharged form hospital 48 hours later without complications.


REFERENCES

  1. Tay JI, Moore J, Walker JJ. Ectopic pregnancy. West J Med.2000; 173: 131-134.

  2. Tenore JL. Ectopic pregnancy. am Fam Physician. 2000; 61: 1080-1088.

  3. Cruz V, avendaño a, Morales M, olguín a, garcía-León F, chaya M y cols. Manejo laparoscópico del embarazo ectópico abdominal. an Med asoc Med Hosp aBc. 2004; 49 (4): 191-194.

  4. López a. cirugía endoscópica (laparoscopia). En: cabero L. tratado de ginecología y obstetricia. Editorial Panamericana, 2da edición; 2012. p. 930-940.

  5. Embarazo Ectópico. En: cunningham, Leveno, Huth, gilstrap, Wenstrom. obstetricia de Williams. Editorial Mcgraw Hill, 23o edición. México; 2010. P. 238-254.

  6. Ramirez Nc, Lawrence WD, ginsburg Ka. Ectopic pregnancy. a recent five year-study and review of the last 50 years’ literature. J Repod Med. 1996; 41 (10): 733-740.

  7. Ankum WM, Mol BWJ, van der Veen F, Bossuyt PM. Risk factors for ectopic pregnancy: a meta-analysis. Fertil Steril. 1996; 65 (6): 1093-1099.

  8. Rojas I. Embarazo Ectópico. Pérez a, Donoso E (Eds). obstetricia 3ra ed. Santiago; Editorial Mediterráneo, 1999; 451-61.

  9. De graaf FL, Demetroulis c. Bilateral tubal ectopic pregnancy: diagnostic pitfalls. Br J clin Pract. 1997; 51: 56-58.

  10. Adair CD, Benrubi GI, Sanchez-Ramos L, Rhatigan R. Bilateral tubal ectopic pregnancies after bilateral partial salpingectomy. a case report. J Reprod Med. 1994; 39: 131-133.

  11. Andrews J, Farrell S. Spontaneous bilateral tubal pregnancies: a case report. J obstet gynaecol can. 2008; 30: 51-54.

  12. Brady J, Wilson M. Spontaneous bilateral tubal ectopic pregnancy. J R Soc Med. 2005; 98 (3): 120-121.

  13. Ghomian N, Lotfalizadeh M. Spontaneous unruptured bilateral tubal pregnancy: a case report. Iran J Med Sci. 2015; 40 (6): 537-540.

  14. Mandal RD, ghosh S, Mitra S, Basak a, Naskar P, Seth K et al. Bilateral tubal pregnancy: a diagnostic dilemma. open Journal of obstetrics and gynecology. 2013; 3: 639-641.

  15. Marpeau o, Barranger E, cortez a, Uzan S. Bilateral tubal pregnancy after natural conception: a case report. J Reprod Med. 2005; 50: 222-224.

  16. Lykke Ja, Dideriksen KL, Lidegaard o, Langhoff-Roos J. First-trimester vaginal bleeding and complications later in pregnancy. obstet gynecol. 2010; 115: 935-944.




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