Spontaneous bilateral ectopic pregnancy: A case report

Introduction: Bilateral ectopic pregnancy is rare, with an estimated incidence of 1 in 725 to 1 in 1580 ectopic pregnancies. They are usually found after using of assisted reproductive techniques. Spontaneous ectopic pregnancy is the rastest from of ectopic pregnany. Early diagnosis is essential for the prevention of significant maternal morbidity and mortality. Case report: A 33-year-old patient, gravidity 3, parity 1 with history of ectopic pregnancy in her first pregnancy was admitted with vaginal bleeding, 48 days after her last menstruation. There was no intrauterine gestational sac in transvaginal sonography, but serial BHCG titer reach to 5000 unit/ml during 7 days admission in hospital. So, the patient was underwent laparotomy and bilateral unruptured tubal pregnancy was noted during surgery, left tube salpingectomy and right tube salpingostomy was performed. Conclusion: This is a rare case of spontaneous bilateral tubal pregnancy in a patient with history of ectopic pregnancy in her first pregnancy