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Bilateral tubal pregnancy is a rare entity, reported as 1 in 125 to 1 in 1580 of the total number of extrauterine pregnancies. Two clinical cases of bilateral tubal pregnancy, treated conservatively by laparoscopy, are presented. The first patient had a history of primary infertility due to anovulation and received menotropins for ovulation induction. She was treated by linear salpingostomy in one of the tubes and distal expression (milking) in the other because of its infundibular-ostial location. The second case is a report of a woman who had multiple pelvic surgeries and had an ectopic pregnancy from a spontaneous pregnancy. In this later case, bilateral linear salpingostomy was performed. In both women, chorionic villi were demonstrated by histopathology. These cases are a model of nature indicating the usefulness of various currently used diagnostic and therapeutic methods in the management of ectopic pregnancy. (

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