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Spontaneous bilateral tubal ectopic pregnancy


Jeevan P Marasinghe ,

De Soyza Hospital for Women, Colombo, LK
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George Condous,

Early Pregnancy and Advanced Endosurgery Unit, Nepean Clinical School, University of Sydney, Australia, AU
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WI Amarasinghe

3Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Peradeniya, LK
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A 28-year old woman presented at eight weeks and four days of gestation, according to her menstrual dates, complaining of painless vaginal bleeding for three days. Her urinary pregnancy test was positive. Initial transvaginal ultrasound demonstrated an irregular complex structure with a fluid filled centre in the right adnexum. Despite the diagnosis of a possible underlying unruptured right tubal ectopic pregnancy, she declined surgical intervention and was managed expectantly as an inpatient. When she complained of increasing abdominal pain with haemodynamic instability, an emergency laparotomy was performed and a diagnosis of bilateral tubal ectopic pregnancy was made.  

doi: 10.4038/cmj.v54i1.470

Ceylon Medical Journal Vol.54(1) 2009 p.21-22
How to Cite: Marasinghe, J.P., Condous, G. and Amarasinghe, W., 2009. Spontaneous bilateral tubal ectopic pregnancy. Ceylon Medical Journal, 54(1), pp.21–22. DOI:
Published on 21 Apr 2009.
Peer Reviewed


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