Dipanda Andre Ngandji, Fouogue Jovanny Tsuala, Mve Valere Koh, Kenfack Bruno, Kemfang Jean Dupont Ngowa
Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, P.O. Box 1364, Yaounde, Cameroon.
Faculty of Medicine and Pharmaceutical Sciences of the University of Dschang, P.O. Box 96, Dschang, Cameroon.
Case Rep Obstet Gynecol. 2021 Nov 18;2021:7970646. doi: 10.1155/2021/7970646. eCollection 2021.
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.
异位妊娠（HP）是一种双卵双胎妊娠，其中一个妊娠囊位于子宫内，另一个位于子宫外。在喀麦隆，异位妊娠的患病率尚不清楚，在那里，像其他资源匮乏地区一样，诊断困难且通常是偶然发现的。我们在此描述了雅温得大学教学医院一例破裂性异位妊娠的诊断和治疗中的陷阱及延误情况。在误诊和治疗不充分后，我们的患者因严重盆腔疼痛和腹腔积血伴休克的临床体征被送至我们的急诊科。她通过剖腹手术接受了左侧输卵管全切术。术后五天她发生了完全自然流产。鉴于在资源匮乏地区的急诊科通常无法常规进行超声检查，对于从业者来说，在面对破裂性异位妊娠时始终牢记异位妊娠可能是很有必要的。
