A 34 year-old nulliparous woman was referred to our Department, complaining of vaginal bleeding and intermittent lower abdominal cramping. serum level of β-hCG was 4954 IU/L. Transvaginal ultrasound examination revealed no gestational sac in the uterine cavity and a right adnexal mass, suggestive of ectopic pregnancy; left adnexal area appeared regular. At laparoscopy, the presence of an ectopic pregnancy was confirmed in the right tube; on the left side, surprisingly, there was an intact infundibular ectopic pregnancy. Right tuba was removed; considering the condition of nulliparous of the patient, we decided to perform a linear salpingostomy. Histologic exam confirmed the diagnosis of spontaneous bilateral tubal ectopic pregnancies.
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机译：一名34岁的未产妇被转诊到我科，主诉阴道流血和下腹部绞痛。血清β-hCG水平为4954 IU / L。经阴道超声检查未发现子宫腔中有妊娠囊，且未见右附件包块，提示异位妊娠。左附件区出现规则。腹腔镜检查证实右管中存在异位妊娠。令人惊讶的是，在左侧，完整的漏斗状异位妊娠。右大号被移除；考虑到患者未婚的情况，我们决定进行线性输卵管吻合术。组织学检查证实了自发性双侧输卵管异位妊娠的诊断。
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