• J Emerg Med · Oct 2021

    Case Reports

    Spontaneous Bilateral Ectopic Pregnancy in a Patient With Endometriosis.

    • Marie J Murphy and Aleksandr Gleyzer.
    • Department of Emergency Medicine, SUNY Downstate Medical Center, Brooklyn, New York.
    • J Emerg Med. 2021 Oct 1; 61 (4): 424-426.

    AbstractBackground Bilateral ectopic pregnancies (EPs) occur in 1 of 200,000 pregnancies. Evidence suggests that endometriosis is an independent risk factor for unilateral EPs. However, the link between endometriosis and bilateral EPs has not been established. Case Report We report a case of a bilateral EP in a patient with endometriosis. The patient was initially misdiagnosed with the unilateral EP. Why Should an Emergency Physician Be Aware of This? Although rare, bilateral EP should be on a differential diagnosis in a pregnant patient presenting with abdominal pain or vaginal bleeding. This includes patients presenting with worsening symptoms after the recent surgery for the unilateral EP. Endometriosis as a risk factor for bilateral EP cannot be established based on a single report, but such a report should raise awareness of the issue.Copyright © 2021 Elsevier Inc. All rights reserved.

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