RT - Journal TY - JOUR A1 - Egbe, Thomas A1 - Nana-Njamen, Theophile A1 - Esome, Henri A1 - Enow-Orock, George T1 - Vaginal birth after laparoscopic management of heterotopic pregnancy at the Douala general hospital, Cameroon: A case report YR - 2020/1/1 JF - Tropical Journal of Obstetrics and Gynaecology JO - Trop J Obstet Gynaecol SP - 207 OP - 209 VO - 37 IS - 1 UL - https://www.tjogonline.com/article.asp?issn=0189-5117;year=2020;volume=37;issue=1;spage=207;epage=209;aulast=Egbe;t=5 DO - 10.4103/TJOG.TJOG_97_19 N2 - Heterotopic pregnancy is the simultaneous presence of an intrauterine and ectopic pregnancy. The prevalence of the condition is unknown in Cameroon. We report a case of heterotopic pregnancy managed by laparoscopy. MS a 33-year-old G2P0010 woman was admitted to our department because of 7 2/7 weeks' amenorrhea, mild vaginal bleeding, and severe lower abdominal pain. She has a 6 years' history of secondary infertility, one induced abortion, and chlamydia infection treated with doxycycline. Furthermore, she has a history of left laparoscopic salpingotomy for tubo-ovarian abscess. She became pregnant after receiving clomiphene citrate and timed intercourse. Her beta hCG assay was 97000 mIU/mL and transvaginal sonography confirmed ruptured heterotopic pregnancy. She underwent laparoscopic left salpingectomy and the intrauterine pregnancy evolved normally and she gave birth to a healthy female that weighed 3050 g at 38 5/7 weeks gestation. The diagnosis of heterotopic pregnancy needs a high index of suspicion. Laparoscopic treatment of heterotopic pregnancy needs to become widespread in Cameroon. ER -