معرفي يك مورد نادر حاملگي خارجي رحمي دو طرفه در لوله هاي رحمي

BILATERAL TUBAL ECTOPIC PREGNANCY

A 34 year old female (G3, P3, AbO) presented with abdominal pain since 3 days. She had a history of vaginal bloody discharge for 30 days and her LMP was about 70 days ago. In physical examination, PR= 110/min, BP 95160 mmHg, T=37.9 and her abdomen was tender. In Gynecological examination there was a tender mass in her right adenex. We could obtain 10 ml unclotted blood in coldusynthesis, Laboratory tests revealed positive BetaHCG and USG reported a heterogenous solid mass near the right ovary. The patient was admitted for emergency surgery with the diagnosis of ruptured ectopic pregnancy. We found 2 lit blood and clot in the abdomen. There was a ruptured ectopic pregnancy in the right ovary with active bleeding. After right salpinxectomy, we found another ectopic pregnancy in the contralateral tube without bleeding. So the left tube with the consumption of ectopic pregnancy was removed. Pathological examination confirmed the diagnosis of ectopic pregnancy in both the tubes.