J Med Assoc Thai 2002; 85 (11):1236

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Bilateral Tubal Pregnancies after Tubal Sterilization in a Human Immunodeficiency Virus Seropositive Woman
Phupong V Mail, Taneepanichskul S , Rungruxsirivom T

Bilateral tubal ectopic pregnancies are rare occurrences. Bilateral tubal ectopic pregnancy
in a patient who had undergone tubal sterilization is also very rare. The authors report a case of a 32-
year-old, gravida 2, parity I, human immunodeficiency virus seropositive who had previously under-
gone tubal sterilization. She presented with abdominal distention and vaginal bleeding after I2 weeks
of amenorrhea. Pre-operative diagnosis was ruptured ectopic pregnancy. Emergency exploratory laparo-
tomy and bilateral salpingectomy were performed. The pathology report confirmed bilateral tubal
pregnancies. She was well at the fifth day of discharge and four-week follow-up. Ectopic pregnancy
should always be suspected in reproductive-age patients presenting with amenorrhea even if they have
undergone tubal sterilization. To the authors' knowledge, there has been no report of bilateral tubal
pregnancy in a patient with human immunodeficiency virus seropositive after tubal sterilization.
Key word : Ectopic Pregnancy, Bilateral, Tubal, Sterilization, HIV Infection

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