Bilateral Ruptured Ectopic Pregnancies with Massive Hemo-Peritonium: A Case Report in a Resource-Low Setting in Sub-Saharan Africa

Journal of clinical case reports Pub Date : 2018-06-08 DOI:10.4172/2165-7920.10001127

Dongmo Gael, Binwe Hapmo Bienvenu, D. Francois, Silatsa Dongmo Fabrice, Kengne Mbobda Willy Stephane, P. Tolefac, Biyoma Marcella Derboise Christelle, Tocki Toutou Grâce, Tameyi Tatsa Joel, Danwang Celestin, N. Marcelin

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Abstract

Background: Bilateral ruptured ectopic pregnancy is the rupture of two implanted product of conception outside of the uterine cavity. Bilateral ruptured ectopic pregnancy without an initial induction of ovulation is extremely rare. It’s occurrence with a major life threatening complication such as massive hemo-peritonium worsens the prognosis. Immediate diagnosis and surgical intervention is required. Few cases have been identified. Case report: We report the case of bilateral ruptured ectopic pregnancy with massive hemo-peritonium diagnosed in a 28-year- old female and managed at African Genesis Health Clinic Yaounde. Discussion and Conclusion: prompt diagnosis and surgical intervention is needed to improve the prognosis related to bilateral ruptured ectopic pregnancies with massive hemo-peritonium. Counseling for assisted means of procreation is important.

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撒哈拉以南非洲资源匮乏地区双侧破裂型异位妊娠伴大量出血性腹膜炎一例报告

背景：双侧破裂型异位妊娠是指两个植入的妊娠产物在子宫腔外破裂。双侧破裂型异位妊娠未经初次诱导排卵的情况极为罕见。它的发生伴有严重的危及生命的并发症，如大量的腹膜积血，会使预后恶化。需要立即诊断和手术干预。很少发现病例。病例报告：我们报告了一例双侧破裂异位妊娠伴大量腹膜积血的病例，该病例诊断为一名28岁女性，在雅温得非洲创世纪健康诊所接受治疗。讨论与结论：双侧异位妊娠破裂伴大量腹膜出血，需要及时诊断和手术干预，以改善预后。为辅助生殖手段提供咨询很重要。

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Journal of clinical case reports

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