The Journal of Obstetrics and Gynaecology of India
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VOL. 69 NUMBER 5 September-October  2019

A Rare Case of Spontaneous Bilateral Ruptured Tubal Ectopic Pregnancy

Saumya Niviti1 ● Kairavi Harkishan Gokani1

Saumya Niviti, M.S. OBGYN, Department of Obstetrics and Gynecology, Bharatratna Dr. Babasaheb Ambedkar Municipal and General Hospital, Kandivali, Mumbai; Kairavi Harkishan Gokani, DNB OBGYN, Department of Obstetrics and Gynecology, Bharatratna Dr. Babasaheb Ambedkar Municipal and General Hospital, Kandivali, Mumbai.

Saumya Niviti [saumyaniviti03@gmail.com] ● Kairavi Harkishan Gokani [kairavi_gokani@hotmail.com]

1 Department of Obstetrics and Gynecology, Bharatratna Dr. Babasaheb Ambedkar Municipal and General Hospital, Kandivali, Mumbai 400067, India

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About the Author


Dr. Saumya Nivitihas done her M.B.B.S. from Lokmanya Tilak Municipal Medical College & Hospital, Mumbai. She passed M.S. Obstetrics and Gynecology from Topiwala National Medical College & B.Y.L. Nair Charitable Hospital, Mumbai. She was working as a Speciality Medical Officer in the department of Obstetrics & Gynecology, Bharatratna Dr. Babasaheb Ambedkar Municipal & General Hospital, Mumbai.

Abstract

Bilateral tubal ectopic pregnancy is very rare, spontaneous cases being exceptional. Here, the authors report a case of spontaneous bilateral tubal ectopic pregnancy of 10-weeks gestation diagnosed and managed at Bharatratna Dr. Babasaheb Ambedkar Municipal and General Hospital, Kandivali, Mumbai. A 29-year-old, G2P1L1 patient presented in the emergency department with 3-months amenorrhea, abdominal pain and vaginal bleeding. Urine pregnancy test was positive, and an emergency ultrasound done revealed bilateral tubal ectopic pregnancies of 10-weeks size with hemoperitoneum. Emergency exploration was done, and a right-sided ruptured ampullary ectopic pregnancy with a left-sided ruptured fimbrial ectopic pregnancy was found with hemoperitoneum. Bilateral salpingectomy was performed, and patient recovered well postoperatively.

See Figs 1 and 2.


Compliance with ethical standards

Conflict of interest Dr. Saumya Niviti and Dr. Kairavi Harkishan Gokani declare that they have no conflict of interest.

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