Bilateral ectopic pregnancy after transfer of two embryos.

OBJECTIVE

To report a case of bilateral tubal ectopic pregnancy (EP) after the transfer of two embryos.

DESIGN

Case report.

SETTING

University hospital.

PATIENT(S): A 43-year-old multigravida with bilateral tubal pregnancy.

INTERVENTION(S): Operative laparoscopy with right linear salpingostomy and left salpingectomy.

MAIN OUTCOME MEASURE(S): Laparoscopy revealed an unruptured left isthmic tubal EP and an unruptured right ampullary tubal EP.

RESULT(S): Pathology confirmed immature placental villi in the right tube and placental tissue in the left tube. The patient was discharged home without incident on the day after surgery.

CONCLUSION(S): This is a rare case of bilateral tubal pregnancy after the transfer of only two embryos. It is critical to perform a close inspection of the abdomen, pelvis, and contralateral tube after surgery for EP.