Abstract
BackgroundEctopic pregnancy is a life-threatening emergency warranting immediate recognition and prompt intervention. Bilateral tubal pregnancy is the rarest form of ectopic pregnancy with very limited data on its occurrence reported in sub-Saharan Africa.Case presentationWe report the case of a 40-year-old multigravida with chief complains of lower abdominal pain evolving for 5 days in whom an intraoperative diagnosis of spontaneous bilateral tubal pregnancy (plus ruptured right tube) was made.ConclusionsEctopic pregnancy is one of the major causes of maternal mortality in sub-Saharan Africa. Thus, clinicians should maintain a high index of suspicion, even in the absence of hallmark features and thorough clinical examination undertaken especially in resource-limited settings. Examination of both tubes at laparotomy for ectopic pregnancy should be routine and mandatory.
Highlights
Ectopic pregnancy is a life-threatening emergency warranting immediate recognition and prompt intervention
To the best of our knowledge, we report the first case of simultaneous bilateral tubal pregnancy (SBTP) occurring in a rural setting in Cameroon, with highlights on some diagnostic challenges
We have reported a case of spontaneous bilateral tubal pregnancy which has a very rare occurrence especially in the absence of ideal risk factors such as ovulation stimulation and assisted reproductive technology as noted in this case
Summary
Stimulation and assisted reproductive technology as noted in this case. Our report builds on literature especially in low-income settings where data on its occurrence is very limited. Giving that our patient did not present with classical features of ectopic pregnancy, it reiterates the invaluable need for clinicians to lay more emphasis on thorough clinical examination as access to basic para-clinical investigations in such settings may be limited. Examination of both tubes at laparotomy for ectopic pregnancy should be routine and mandatory. Authors’ contributions CST performed the surgery and wrote the initial draft. Author details 1 Bambalang Medicalized Health Centre, Bambalang, Cameroon. 3 Department of Anesthesia and Reanimation, Catholic University of Central Africa, Yaounde, Cameroon
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