Abstract

Oumaima Sarhdaoui*, Aicha Bennani, Khaoula Lakhdar, Najia Zraidi, Amina Lakhdar, Abdelaziz Baidada and Aicha Kharbach

ABSTRACT

Ectopic pregnancy complicates 0.25%–2% of all pregnancies and is one of the most common causes of first-trimester maternal mortality in developing countries due to late diagnosis. Spontaneous ruptured bilateral tubal ectopic pregnancies are extremely rare, with very limited data on its occurrence in the literature. Clinical presentation of these cases does not differ as for unilateral versus bilateral ectopic pregnancy, and sometimes symptoms overlap those of spontaneous abortion Management of these rare cases presents the clinician with diagnostic and management dilemmas. This is primarily due to rarity of the condition posing diagnostic difficulties with ultrasonography and implication of its treatment on fertility of the women. We report a case of a 33-year-old multipara with a history of amenorrhea of 8 weeks and complaints of vaginal spotting of and abdominal pain in the last 7 days. On admission, the diagnosis of ruptured ectopic pregnancy was made on clinical findings and ultrasonography. However, both fallopian tubes were found to harbor ectopic gestational sac with bleeding rents on the tubal walls at surgery. She subsequently had bilateral salpingectomy with good outcome.