Résumé

Spontaneous bilateral ectopic pregnancy is an extremely rare event, occurring in 1/750 to 1/580 of all ectopic pregnancies, and in 1 case in 200,000 pregnancies. Nonetheless, this occurrence appears to be on the rise owing to Assisted Reproductive Technology. In this report, we present a singular case of spontaneous bilateral ectopic pregnancy in a 28-year-old patient under our care. The diagnosis was established during exploratory laparotomy, revealing an unruptured ectopic pregnancy on the left and a ruptured ampullary ectopic pregnancy on the right tub, resulting in hemoperitoneum. Bilateral salpingectomy was performed. The patient received one pack of red blood cells transfusion in postoperative period. The recovery period was simple. She left the hospital on post-operative day 3. We recommend a systematic exploration of the contralateral fallopian tube in order to eliminate the risk of a bilateral ectopic pregnancy, which could result in a fatal outcome.

Mot-clés :

Bilateral ectopic pregnancy, Salpingectomy, Regional Hospital Center, Niger