TY - JOUR A2 - Ohkuchi, Akihide AU - Gathura, Josephine Eva AU - Elfeky, Amro AU - McLaren, Rodney AU - Herzog, David AU - Grazi, Richard PY - 2021 DA - 2021/06/21 TI - Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling SP - 5588869 VL - 2021 AB - Bilateral tubal ectopic pregnancies (BTP) are the rarest form of ectopic pregnancy. They are difficult to diagnose preoperatively, and an evidence-based guideline for management does not exist. In this report, we discuss a 35-year-old patient who presented with suspected right tubal ectopic pregnancy. BTP was diagnosed intraoperatively, and a laparoscopic bilateral salpingectomy was performed without complication. The diagnosis was subsequently confirmed by pathology. This case highlights the importance of patient counseling and comprehensive preoperative planning. Due to the poor presurgical diagnosis of BTP, patient counseling should include the possibility of BTP, appropriate options for management, and potential loss of fertility following treatment. In addition, all cases of suspected ectopic pregnancy necessitate a thorough preoperative investigation of bilateral adnexa and intraoperative inspection of the pelvis. SN - 2090-6684 UR - https://doi.org/10.1155/2021/5588869 DO - 10.1155/2021/5588869 JF - Case Reports in Obstetrics and Gynecology PB - Hindawi KW - ER -