Spontaneous bilateral tubal pregnancy is an uncommon gynaecological event. It has an estimated incidence of 1 in 725 to 1 in 1580 ectopic pregnancies. The exact cause remains unknown and they are usually diagnosed at the time of surgery. It is an important cause of first trimester maternal mortality and significantly affects future fertility. We report an unusual case of spontaneous bilateral tubal pregnancy. At initial presentation the patient was clinically stable and treated with laparoscopic right salpingectomy, she subsequently underwent laparotomy with left salpingectomy three weeks later at a further admission in haemorrhagic shock and significant haemoperitioneum.

Authors: Fouzia Memon, Mohamed Matar

Key Words: Spontaneous bilateral ectopic pregnancy, gynaecological emergency, haemorrhagic shock, laparoscopic salpingectomy