Zeng X, Luo L, Ou-Yang YW. A spontaneous bilateral fallopian tube pregnancy with didelphic uterus: A case report.
Medicine (Baltimore) 2021;
100:e24291. [PMID:
33466216 PMCID:
PMC7808534 DOI:
10.1097/md.0000000000024291]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Accepted: 12/23/2020] [Indexed: 01/05/2023] Open
Abstract
RATIONALE
In this article, we report interesting clinical manifestation of spontaneous bilateral fallopian tube pregnancies in a patient with a didelphic uterus.
PATIENT CONCERNS
A 26-year-old female patient, gravida 2, para 0 + 1, suffered from progressive abdominal pain and vaginal bleeding. A laboratory exam revealed a human chorionic gonadotropin level of 1091 IU/L. Transvaginal ultrasound detected no embryo sacs in the uterus but revealed a didelphic uterus, and a mass measuring 39 mm x 32 mm in the left adnexa region with another mass measuring 42 x 28 mm in the right adnexa region.
DIAGNOSES
An ectopic pregnancy in the left adnexa region and a corpus hemorrhagicum in the right adnexa region were suspected.
INTERVENTIONS
Laparoscopic exploration operation confirmed a didelphic uterus, and pathological biopsy revealed bilateral fallopian tube pregnancies.
OUTCOMES
The patient made a good recovery and the human chorionic gonadotropin became normal within the following 2 months.
LESSONS
To the best of our knowledge, clinical manifestation of spontaneous bilateral fallopian tube pregnancies in a patient with a didelphic uterus has never been reported before. Based on the experience with this case, we suggest that if a gestational sac is found in 1 fallopian tube, the contralateral fallopian tube needs to be examined for an ectopic pregnancy during surgery.
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