Spontaneous bilateral ectopic pregnancy: A case report.

Njoku C1, Oriji PC1*, Aigere EOS1,2, Omile C2
1Department of Obstetrics and Gynaecology, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
2Department of Obstetrics and Gynaecology, Shepherd Hospital and Fertility Centre, Warri, Delta State, Nigeria.
*Correspondence: Dr. Oriji, Peter Chibuzor; +234 706 423 3209; chibuzor54@gmail.com

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Background: Ectopic pregnancy is defined as the implantation of a fertilised ovum at a site other than the uterine endometrium. Worldwide, ectopic pregnancy complicates 0.25 – 2% of all pregnancies. Bilateral ectopic pregnancy is rare. It occurs in 1 out of every 200,000 spontaneous pregnancies and range from 1 out of every 725 to 1,580 ectopic pregnancies. Ectopic pregnancy is one of the commonest causes of first trimester maternal mortality in our environment.
Case presentation: She was a 39-year-old G4P2 (2 alive) lady who presented to the emergency unit following 6 weeks of amenorrhoea with bilateral ectopic pregnancy. At laparotomy, there were right and left ruptured ampullary ectopic gestations. Right and le par al salpingectomy was done and repaired with No. 1 vicryl suture. The haemoperitoneum was evacuated. She recovered and was counselled on invitro fertilisation if she is still desirous of pregnancy.
Conclusion: Ectopic pregnancy is associated with increased risk of maternal morbidity and mortality. Early presentation to the hospital, high index of suspicion, availability of diagnostic facilities and functional blood transfusion services are key in reducing the morbidity and mortality associated with ectopic pregnancy.

Keywords: Ectopic pregnancy, Bilateral ectopic pregnancy, Morbidity and mortality, Laparotomy, Salpingectomy.

Cite this article: Njoku C, Oriji PC, Aigere EOS, Omile C. Spontaneous bilateral ectopic pregnancy: A case report. Yen Med J. 2019;1(1):56-60.


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