PICTORIAL ESSAY
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
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.