Bilateral tubal pregnancy: An unusual presentation of a rare case

Introduction: Bilateral tubal pregnancy (BTP) is the rarest form of ectopic pregnancy. The reported incidence of spontaneous BTP is 5 in 1 million deliveries. Case Report: A 34-year-old woman with a previous diagnosis of right tubal pregnancy who had undergone surgery three weeks before presented with persistent pregnancy symptoms and abdominal pain prompting further investigation. Subsequently, bilateral tubal pregnancy was diagnosed after she underwent a second surgery for another ectopic pregnancy on the left side of the tube. Notably, both ectopic pregnancies were confirmed by histological examination. Conclusion: This case highlights the importance of clinical awareness of the possibility of bilateral tubal pregnancy even after a patient has recently undergone surgery for an ectopic pregnancy.