Abstract
The incidence of ectopic pregnancy is climbing due to increasing tubal damage associated with infection, surgery, and assistive reproductive technologies. With this comes a rise in abnormal cases being presented for diagnosis and the risk of them being incorrectly handled. Bilateral ectopic pregnancies are one such abnormality, where their frequency has been so low that the differential tends not to come to mind when managing a patient with ectopic symptoms. The case study presented describes this occurrence, with the second ectopic pregnancy being missed on initial diagnosis only to be discovered when β-hCG levels failed to decline. The prognosis for a missed ectopic gestation is poor, with rupture being the most common and severe complication, making accurate diagnosis and management of bilateral ectopic pregnancy critical to patient care.
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