Case report of spontaneous bilateral tubal ectopic pregnancy in the National Hospital of Pikine, Dakar

Abstract

Ectopic pregnancy still remains an important cause of maternal morbidity and mortality notably because of using assisted reproductive techniques. The diagnosis is usually made intra operatively and levels of serum BHCG and ultrasound has not been useful in the diagnosis of bilateral tubal ectopic pregnancy. This leads to emphasize on the importance of meticulous ultrasound examination when an ectopic pregnancy is suspected but also a complete tubal and abdominal examination at the time of surgery even if there may be issues with significant adhesive disease. Conservative treatments like “tubal caesarean,” despite the risk of recurrence, are still very useful in our context because of the inaccessibility of assisted reproductive treatment. Risk factors for ectopic pregnancy have not been found in our case but a research track could be opened on a traditional pharmacopoeia called “ALDANKE” widely used in Senegal.