6533b7d6fe1ef96bd126572a

RESEARCH PRODUCT

Spontaneous bilateral tubal pregnancy in a nulliparous woman. Laparoscopic diagnosis and treatment

Gloria CalagnaC. RossiGiorgio AdileMaria ManzoneAntonino PerinoGaspare Cucinella

subject

Ectopic pregnancyObstetrics and GynecologyLaparoscopyBilateral tubal pregnancySalpingostomySettore MED/40 - Ginecologia E Ostetricia

description

A 34 year-old nulliparous woman was referred to our Department, complaining of vaginal bleeding and intermittent lower abdominal cramping. serum level of β-hCG was 4954 IU/L. Transvaginal ultrasound examination revealed no gestational sac in the uterine cavity and a right adnexal mass, suggestive of ectopic pregnancy; left adnexal area appeared regular. At laparoscopy, the presence of an ectopic pregnancy was confirmed in the right tube; on the left side, surprisingly, there was an intact infundibular ectopic pregnancy. Right tuba was removed; considering the condition of nulliparous of the patient, we decided to perform a linear salpingostomy. Histologic exam confirmed the diagnosis of spontaneous bilateral tubal ectopic pregnancies.

10.14660/2385-0868-27http://hdl.handle.net/10447/176233