喀麦隆农村低收入地区自发性双侧输卵管妊娠的发生：一例报告
Occurrence of spontaneous bilateral tubal pregnancy in a low-income setting in rural Cameroon: a case report.
作者信息
Tankou Conrad S, Sama Carlson-Babila, Nekame Jinette Lorraine Guedem
机构信息
Bambalang Medicalized Health Centre, Bambalang, Cameroon.
Galactic Corps Research Group (GCRG), Buea, Cameroon.
出版信息
BMC Res Notes. 2017 Dec 4;10(1):679. doi: 10.1186/s13104-017-3021-y.
BACKGROUND
Ectopic pregnancy is a life-threatening emergency warranting immediate recognition and prompt intervention. Bilateral tubal pregnancy is the rarest form of ectopic pregnancy with very limited data on its occurrence reported in sub-Saharan Africa.
CASE PRESENTATION
We report the case of a 40-year-old multigravida with chief complains of lower abdominal pain evolving for 5 days in whom an intraoperative diagnosis of spontaneous bilateral tubal pregnancy (plus ruptured right tube) was made.
CONCLUSIONS
Ectopic pregnancy is one of the major causes of maternal mortality in sub-Saharan Africa. Thus, clinicians should maintain a high index of suspicion, even in the absence of hallmark features and thorough clinical examination undertaken especially in resource-limited settings. Examination of both tubes at laparotomy for ectopic pregnancy should be routine and mandatory.
背景
异位妊娠是一种危及生命的紧急情况，需要立即识别并迅速干预。双侧输卵管妊娠是异位妊娠最罕见的形式，在撒哈拉以南非洲地区，关于其发生率的报道数据非常有限。
病例报告
我们报告了一例40岁多孕次妇女的病例，主要症状为下腹部疼痛5天，术中诊断为自发性双侧输卵管妊娠（右侧输卵管破裂）。
结论
异位妊娠是撒哈拉以南非洲地区孕产妇死亡的主要原因之一。因此，即使没有典型特征，临床医生也应保持高度怀疑，特别是在资源有限的环境中，要进行全面的临床检查。剖腹探查异位妊娠时，双侧输卵管检查应作为常规且必须进行。
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