Bilateral ruptured spontaneous extra-uterine pregnancy: About a case at the Thiès Regional Hospital Center

Abstract

Introduction: Spontaneous bilateral tubal ectopic pregnancy is very rare and its ruptured form constitutes a life-threatening emergency. The diagnosis is sometimes very difficult. Surgical management consists of bilateral salpingectomy. Case Report: We report the case of a 36-year-old multiparous patient who presented with metrorrhagia at eight weeks of amenorrhea with a positive pregnancy test. The ultrasound revealed a progressive right ectopic pregnancy of 8 weeks +2 days with the presence of a pseudo-gestational sac visible intrauterine and an effusion of moderate abundance. The diagnosis of ectopic pregnancy was made and the bilateral nature was demonstrated intraoperatively. A radical treatment was carried out with a favorable evolution. Conclusion: Spontaneous bilateral ectopic pregnancy is a very rare situation, the diagnosis is often retrospective and the treatment is radical, such as bilateral salpingectomy.