Tropical Journal of Obstetrics and Gynaecology

CASE REPORT
Year
: 2020  |  Volume : 37  |  Issue : 1  |  Page : 207--209

Vaginal birth after laparoscopic management of heterotopic pregnancy at the Douala general hospital, Cameroon: A case report


Thomas O Egbe1, Theophile Nana-Njamen1, Henri Esome2, George E Enow-Orock3 
1 Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Buea and Douala General Hospital, Cameroon
2 Department of Obstetrics and Gynaecology, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
3 Department of Pathology, Faculty of Health Sciences, University of Buea, Cameroon

Correspondence Address:
Prof. Thomas O Egbe
Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Buea and Douala General Hospital
Cameroon

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.


How to cite this article:
Egbe TO, Nana-Njamen T, Esome H, Enow-Orock GE. Vaginal birth after laparoscopic management of heterotopic pregnancy at the Douala general hospital, Cameroon: A case report.Trop J Obstet Gynaecol 2020;37:207-209


How to cite this URL:
Egbe TO, Nana-Njamen T, Esome H, Enow-Orock GE. Vaginal birth after laparoscopic management of heterotopic pregnancy at the Douala general hospital, Cameroon: A case report. Trop J Obstet Gynaecol [serial online] 2020 [cited 2020 Oct 31 ];37:207-209
Available from: https://www.tjogonline.com/article.asp?issn=0189-5117;year=2020;volume=37;issue=1;spage=207;epage=209;aulast=Egbe;type=0