Aroke Desmond, Ngek Larry Tangie, Tindong Maxime, Fomanka Esua, Achu Colette, Tanah Arnold Agwe, Kadia Benjamin Momo
Mbengwi District Hospital, Mbengwi, Cameroon.
Health and Human Development (2HD) Research Network, Douala, Cameroon.
BMC Res Notes. 2018 Apr 12;11(1):242. doi: 10.1186/s13104-018-3345-2.
Heterotopic pregnancies are rare in spontaneous conceptions. Nonetheless, when it does occur, the intrauterine pregnancy is usually viable. We herein present a true rarity of the coexistence of a blighted ovum and an ectopic pregnancy.
A 25 year old G2P1001 married seamstress of African ethnicity at 8 weeks of amenorrhoea presented to our health facility with a 4 day history of lower abdominal pains and vaginal bleeding for which physical examination revealed a closed cervix. Trans-abdominal ultrasound scan confirmed a diagnosis of a blighted ovum and an ectopic pregnancy. Patient was managed with surgical therapy. Evolution thereafter was uneventful.
The case presented confirms that HP can occur in the absence of predisposing factors, and that the detection of a blighted ovum should not preclude the possibility of a simultaneous ectopic pregnancy. A high index of suspicion could lead to early diagnosis, prompt management and a favourable prognosis even in a low-income setting.
异位妊娠在自然受孕中较为罕见。然而，一旦发生，宫内妊娠通常是存活的。我们在此报告一例真正罕见的枯萎卵与异位妊娠并存的病例。
一名25岁、孕2产1（0-0-0-1）、非洲裔已婚女裁缝，停经8周，因下腹痛和阴道出血4天前来我院就诊。体格检查发现宫颈闭合。经腹超声扫描确诊为枯萎卵和异位妊娠。患者接受了手术治疗。此后病情平稳。
该病例证实，即使没有诱发因素也可能发生异位妊娠，并且检测到枯萎卵并不排除同时存在异位妊娠的可能性。即使在低收入环境中，高度的怀疑指数也可能导致早期诊断、及时治疗并获得良好预后。
