Ngaroua Hôpital Régional de Ngaoundéré - Service de Chirurgie, Cameroun , Neossi, NM Hôpital Régional de Ngaoundéré - Service de Radiologie, Cameroun , Mbo, AJ Hôpital Régional de Ngaoundéré - Service de Radiologie, Cameroun , Eloundou, NJ Université de Yaoundé I - Faculté de Médecine et des Sciences Biomédicales (FMSB) - Département de Chirurgie, Cameroun

Heterotopic Pregnancy as Revealed by a Delayed and Stopped Left Ampulla Pregnancy: a Case Study at the Regional Hospital of Ngaoundere- Cameroon

20224

Heterotopic pregnancy (HP) or simultaneous pregnancy is defined as the association of intra-uterine pregnancy (IUP) and extra-uterine pregnancy in the same patient. The diagnosis is difficult, and occurs very late. The main objective of this study was to detect a case study of an HP in a 32 years old patient admitted to the hospital for a delayed abdominal pregnancy. After observations, the patient who was nullipara with no abortion notion had a distended stomach without peritoneal irritation signs, nor occlusive syndromes. Results of the ultrasound revealed a delayed abdominal pregnancy of 26 weeks old, and no sign of IUP. A laporotomy indicated a late and undisrupted left ampulla pregnancy with a fetal deformation, and an inserted placenta on the left annex of the gestated uterus. A tocolysis realized during the first week post-surgery led to a spontaneous abortion two weeks later. Based on diagnosis difficulties, this study suggests a following up of pregnant women to guarantee a full term pregnancy without associated risks.

1

Heterotopic pregnancy , extra , uterine pregnancy , left annexectomy , etiopathogeny

Health Sciences an‎d Diseases

2