Incidental Laparoscopic Diagnosis of a Concurrent Contralateral Ectopic Pregnancy in a Donor Egg Recipient with Left Tubal Gestation

Abstract

Abstract Background: Bilateral tubal pregnancy is a rare clinical condition. Unrecorded data have impeded a true calculation of the actual rate of incidence of this entity. Case: A 39-year-old nulliparous woman conceived in the fourth cycle of in vitro fertilization treatment, and presented to Dr. Ramesh Hospital after 5 weeks of amenorrhea, with lower abdominal pain and vaginal bleeding. Clinical examination revealed tenderness in the lower abdomen. Serum beta human chorionic gonadotropin concentration was 2606 milli-international units (mIU)/mL. Transvaginal ultrasound examination revealed an empty uterus, a complex lesion in the left adnexa, and moderate intraperitoneal fluid suggestive of a ruptured ectopic pregnancy. Laparoscopy disclosed ectopic pregnancies in both the tubes, and bilateral salpingectomy was performed. Results: The postoperative period until discharge was uneventful, and, subsequently, the patient was lost to follow-up. Conclusions: Although the incidence of bilateral tubal pregnancy...