Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)

Heterotopic pregnancy (HP) is a dizygotic twin pregnancy in which one gestational sac is intrauterine and the other is extrauterine. The prevalence of HP is unknown in Cameroon where the diagnosis is difficult and usually fortuitous like in other resource-poor settings. We herein depict pitfalls and...

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Autores principales:	Andre Ngandji Dipanda, Jovanny Tsuala Fouogue, Valere Koh Mve, Bruno Kenfack, Jean Dupont Ngowa Kemfang
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/e50332d683cf4ce2b59b5ec7a79d3b57
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spelling	oai:doaj.org-article:e50332d683cf4ce2b59b5ec7a79d3b572021-11-29T00:56:08ZPitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)2090-669210.1155/2021/7970646https://doaj.org/article/e50332d683cf4ce2b59b5ec7a79d3b572021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/7970646https://doaj.org/toc/2090-6692Heterotopic pregnancy (HP) is a dizygotic twin pregnancy in which one gestational sac is intrauterine and the other is extrauterine. The prevalence of HP is unknown in Cameroon where the diagnosis is difficult and usually fortuitous like in other resource-poor settings. We herein depict pitfalls and delays in the diagnosis and management of a ruptured heterotopic pregnancy at the Yaounde University Teaching Hospital. After a wrong diagnosis and inadequate treatment, our patient presented at our emergency unit with severe pelvic pain and clinical signs of hemoperitoneum with shock. She underwent a total left salpingectomy through laparotomy. She had a complete spontaneous abortion five days after the surgery. Given that sonography is not routinely available in emergency departments in resource-poor settings, it may be relevant for practitioners to always bear HP in mind when facing ruptured ectopic pregnancies.Andre Ngandji DipandaJovanny Tsuala FouogueValere Koh MveBruno KenfackJean Dupont Ngowa KemfangHindawi LimitedarticleGynecology and obstetricsRG1-991ENCase Reports in Obstetrics and Gynecology, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gynecology and obstetrics RG1-991
spellingShingle	Gynecology and obstetrics RG1-991 Andre Ngandji Dipanda Jovanny Tsuala Fouogue Valere Koh Mve Bruno Kenfack Jean Dupont Ngowa Kemfang Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)
description	Heterotopic pregnancy (HP) is a dizygotic twin pregnancy in which one gestational sac is intrauterine and the other is extrauterine. The prevalence of HP is unknown in Cameroon where the diagnosis is difficult and usually fortuitous like in other resource-poor settings. We herein depict pitfalls and delays in the diagnosis and management of a ruptured heterotopic pregnancy at the Yaounde University Teaching Hospital. After a wrong diagnosis and inadequate treatment, our patient presented at our emergency unit with severe pelvic pain and clinical signs of hemoperitoneum with shock. She underwent a total left salpingectomy through laparotomy. She had a complete spontaneous abortion five days after the surgery. Given that sonography is not routinely available in emergency departments in resource-poor settings, it may be relevant for practitioners to always bear HP in mind when facing ruptured ectopic pregnancies.
format	article
author	Andre Ngandji Dipanda Jovanny Tsuala Fouogue Valere Koh Mve Bruno Kenfack Jean Dupont Ngowa Kemfang
author_facet	Andre Ngandji Dipanda Jovanny Tsuala Fouogue Valere Koh Mve Bruno Kenfack Jean Dupont Ngowa Kemfang
author_sort	Andre Ngandji Dipanda
title	Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)
title_short	Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)
title_full	Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)
title_fullStr	Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)
title_full_unstemmed	Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)
title_sort	pitfalls in diagnosing heterotopic pregnancy in sub-saharan africa: a case report at the yaounde university teaching hospital (cameroon)
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/e50332d683cf4ce2b59b5ec7a79d3b57
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Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)

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