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A nulliparous woman in the first trimester of pregnancy presented with abdominal pain and syncope to the emergency room. She was studied in the gynecology service and a pelvic ultrasound suggested a right ectopic pregnancy. She underwent a laparotomy which disclosed a bilateral tubal dilation. A bilateral salpingectomy was performed. Histology confirmed a synchronious bilateral ectopic pregnancy by demonstrating chorionic villi in both tubes.
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