Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling
Bilateral tubal ectopic pregnancies (BTP) are the rarest form of ectopic pregnancy. They are difficult to diagnose preoperatively, and an evidence-based guideline for management does not exist. In this report, we discuss a 35-year-old patient who presented with suspected right tubal ectopic pregnanc...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2021/5588869 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832556649383985152 |
|---|---|
| author | Josephine Eva Gathura Amro Elfeky Rodney McLaren David Herzog Richard Grazi |
| author_facet | Josephine Eva Gathura Amro Elfeky Rodney McLaren David Herzog Richard Grazi |
| author_sort | Josephine Eva Gathura |
| collection | DOAJ |
| description | Bilateral tubal ectopic pregnancies (BTP) are the rarest form of ectopic pregnancy. They are difficult to diagnose preoperatively, and an evidence-based guideline for management does not exist. In this report, we discuss a 35-year-old patient who presented with suspected right tubal ectopic pregnancy. BTP was diagnosed intraoperatively, and a laparoscopic bilateral salpingectomy was performed without complication. The diagnosis was subsequently confirmed by pathology. This case highlights the importance of patient counseling and comprehensive preoperative planning. Due to the poor presurgical diagnosis of BTP, patient counseling should include the possibility of BTP, appropriate options for management, and potential loss of fertility following treatment. In addition, all cases of suspected ectopic pregnancy necessitate a thorough preoperative investigation of bilateral adnexa and intraoperative inspection of the pelvis. |
| format | Article |
| id | doaj-art-f50f1364ac1f43ab9bb8fadb3c8de00d |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-f50f1364ac1f43ab9bb8fadb3c8de00d2025-02-03T05:44:44ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922021-01-01202110.1155/2021/55888695588869Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient CounselingJosephine Eva Gathura0Amro Elfeky1Rodney McLaren2David Herzog3Richard Grazi4Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USADepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USADepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USADepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USADepartment of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York, USABilateral tubal ectopic pregnancies (BTP) are the rarest form of ectopic pregnancy. They are difficult to diagnose preoperatively, and an evidence-based guideline for management does not exist. In this report, we discuss a 35-year-old patient who presented with suspected right tubal ectopic pregnancy. BTP was diagnosed intraoperatively, and a laparoscopic bilateral salpingectomy was performed without complication. The diagnosis was subsequently confirmed by pathology. This case highlights the importance of patient counseling and comprehensive preoperative planning. Due to the poor presurgical diagnosis of BTP, patient counseling should include the possibility of BTP, appropriate options for management, and potential loss of fertility following treatment. In addition, all cases of suspected ectopic pregnancy necessitate a thorough preoperative investigation of bilateral adnexa and intraoperative inspection of the pelvis.http://dx.doi.org/10.1155/2021/5588869 |
| spellingShingle | Josephine Eva Gathura Amro Elfeky Rodney McLaren David Herzog Richard Grazi Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling Case Reports in Obstetrics and Gynecology |
| title | Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling |
| title_full | Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling |
| title_fullStr | Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling |
| title_full_unstemmed | Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling |
| title_short | Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling |
| title_sort | spontaneous bilateral tubal ectopic pregnancy in a low risk patient a case report with implications for preoperative patient counseling |
| url | http://dx.doi.org/10.1155/2021/5588869 |
| work_keys_str_mv | AT josephineevagathura spontaneousbilateraltubalectopicpregnancyinalowriskpatientacasereportwithimplicationsforpreoperativepatientcounseling AT amroelfeky spontaneousbilateraltubalectopicpregnancyinalowriskpatientacasereportwithimplicationsforpreoperativepatientcounseling AT rodneymclaren spontaneousbilateraltubalectopicpregnancyinalowriskpatientacasereportwithimplicationsforpreoperativepatientcounseling AT davidherzog spontaneousbilateraltubalectopicpregnancyinalowriskpatientacasereportwithimplicationsforpreoperativepatientcounseling AT richardgrazi spontaneousbilateraltubalectopicpregnancyinalowriskpatientacasereportwithimplicationsforpreoperativepatientcounseling |