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The Dilemma of Bilateral Tubal Pregnancy: Case Report and Literature Review | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

The Dilemma of Bilateral Tubal Pregnancy: Case Report and Literature Review

Azzam HM*, Dayyana S and Tomlinson AJ
Royal Bolton Hospital, Bolton, Lancashire, England
Corresponding Author : Azzam HM
Royal Bolton Hospital, Bolton
Lancashire, England
E-mail: [email protected]
Received August 17, 2012; Accepted September 11, 2012; Published September 13, 2012
Citation: Azzam HM, Dayyana S, Tomlinson AJ (2012) The Dilemma of Bilateral Tubal Pregnancy: Case Report and Literature Review. J Clin Case Rep 2:198. doi:10.4172/2165-7920.1000198
Copyright: © 2012 Azzam HM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


This is a case of a 28-year-old lady, nulliparous lady, with a two year history of primary infertility. She had undergone infertility investigations which revealed an ovulation with low day 21 progesterone assay. Pelvic ultrasound scanning showed a normal uterus and endometrium, bulky left ovary and normal right ovary. Laparoscopy, hysteroscopy and tubal dye test revealed mild to moderate endometriosis, probable chocolate cyst on the left ovary, tortuous and blocked left tube. However, there was a normal and patent right tube. Her husband’s seminal analysis was sub-optimal with a good count of 47 million sperm/ml. However, only 7% normal forms and 4% were with rapid progressive motility. The diagnosis of sub fertility in both partners was made.

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