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Spontaneous Bilateral Ectopic Tubal Pregnancy in Low-Resource Countries: About a Case in Burkina Faso, West Africa

Received: 4 September 2023    Accepted: 6 November 2023    Published: 17 November 2023
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Abstract

Background: In developing countries, spontaneous bilateral tubal ectopic pregnancy is a very rare pathology. That form of extra-uterine pregnancy can lead to serious complication with high maternal morbidity and mortality if intervention is delayed. When diagnosed before the stage of complications, in particular tubal rupture, it essentially poses the problem of preserving subsequent fertility Case: the clinical case we present was documented in Burkina Faso, a country with limited resources in West africa, at the gynecology obstetrics and reproductive medicine department of the Bogdogo university hospital. We are sharing the case of a 30-year-old para 1 gravida 2 patient who presented the signs of unbroken ectopic pregnancy. An ultrasound scan noted a left and right tubal ectopic pregnancy. At laparotomy, bilateral non ruptured tubal ectopic pregnancy was encountered. We decided to perform a left total salpingectomy with good hemostasis. The right ectopic pregnancy was treated with a salpingotomy with careful extraction of the conception product to maintain fertility. Our patient became pregnant 6 months after treatment. The situation was diagnosed in January 2022. Conclusion: bilateral ectopic pregnancy in a woman wishing to have children can be treated to preserve the patient's future fertility especially in developing countries where medically assisted reproduction is not yet available.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 6)
DOI 10.11648/j.jgo.20231106.11
Page(s) 133-136
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Spontaneous, Bilateral Ectopic Pregnancy, Ouagadougou, Burkina Faso

References
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[2] Das S, Mahapatra B, Halder R, Talukder A. Spontaneous bilateral tubal pregnancy: a case report. Journal of Dental and Medical Sciences. 2015; 14 (12): 7-9.
[3] Niviti S, Gokani KH. A rare case of spontaneous bilateral ruptured tubal ectopic pregnancy. J Obstet Gynaecol India. 2019; 69 (5): 470-472.
[4] Andrews J, Farrell S. “Spontaneous bilateral tubal pregnancies: a case report,” Journal of Obstetrics and Gynaecology Canada, vol. 30, no. 1, pp. 51–54, 2008.
[5] Baron K. T, Babagbemi K. T, Arleo E. K, Asrani A. V, Troiano R. N. “Emergent complications of assisted reproduction: Expecting the unexpected,” Radio Graphics, 2021; vol. 33, no. 1, pp. 229–244, 2013.
[6] De Los oR´ıos J. F, Castaneda J. D, Miryam A. “Bilateral ectopic pregnancy,” Journal of Minimally Invasive Gynecology, 2007; vol. 14, no. 4, pp. 419–427,
[7] Mol F, Van Mello, NM, Strandell A. Groupe de travail sur la chirurgie Européenne de la grossesse extra-utérine (ESEP). Salpingotomie versus salpingectomie chez les femmes enceintes de grossesse tubaire (étude ESEP): essai ouvert, multicentrique, contrôlé et randomisé. Lancette. 2014; 383: 1483-1489 [PubMed].
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[12] Barnhart K T, Sammel M D, Gracia C RR. Facteurs de risque de grossesse extra-utérine chez les femmes ayant une grossesse symptomatique au premier trimestre. Fertilité-stérilité. 2006; 86 36-43.
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  • APA Style

    Adama, O., Dieudonné, L., Sadio, D., Yobi Alexi, S., Sibraogo, K., et al. (2023). Spontaneous Bilateral Ectopic Tubal Pregnancy in Low-Resource Countries: About a Case in Burkina Faso, West Africa. Journal of Gynecology and Obstetrics, 11(6), 133-136. https://doi.org/10.11648/j.jgo.20231106.11

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    ACS Style

    Adama, O.; Dieudonné, L.; Sadio, D.; Yobi Alexi, S.; Sibraogo, K., et al. Spontaneous Bilateral Ectopic Tubal Pregnancy in Low-Resource Countries: About a Case in Burkina Faso, West Africa. J. Gynecol. Obstet. 2023, 11(6), 133-136. doi: 10.11648/j.jgo.20231106.11

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    AMA Style

    Adama O, Dieudonné L, Sadio D, Yobi Alexi S, Sibraogo K, et al. Spontaneous Bilateral Ectopic Tubal Pregnancy in Low-Resource Countries: About a Case in Burkina Faso, West Africa. J Gynecol Obstet. 2023;11(6):133-136. doi: 10.11648/j.jgo.20231106.11

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  • @article{10.11648/j.jgo.20231106.11,
      author = {Ouattara Adama and Lompo Dieudonné and Diallo Sadio and Sawadogo Yobi Alexi and Kiemtoré Sibraogo and Ouédraogo Issa and Ouédraogo Charlemagne Marie Ragna Newende},
      title = {Spontaneous Bilateral Ectopic Tubal Pregnancy in Low-Resource Countries: About a Case in Burkina Faso, West Africa},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {6},
      pages = {133-136},
      doi = {10.11648/j.jgo.20231106.11},
      url = {https://doi.org/10.11648/j.jgo.20231106.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231106.11},
      abstract = {Background: In developing countries, spontaneous bilateral tubal ectopic pregnancy is a very rare pathology. That form of extra-uterine pregnancy can lead to serious complication with high maternal morbidity and mortality if intervention is delayed. When diagnosed before the stage of complications, in particular tubal rupture, it essentially poses the problem of preserving subsequent fertility Case: the clinical case we present was documented in Burkina Faso, a country with limited resources in West africa, at the gynecology obstetrics and reproductive medicine department of the Bogdogo university hospital. We are sharing the case of a 30-year-old para 1 gravida 2 patient who presented the signs of unbroken ectopic pregnancy. An ultrasound scan noted a left and right tubal ectopic pregnancy. At laparotomy, bilateral non ruptured tubal ectopic pregnancy was encountered. We decided to perform a left total salpingectomy with good hemostasis. The right ectopic pregnancy was treated with a salpingotomy with careful extraction of the conception product to maintain fertility. Our patient became pregnant 6 months after treatment. The situation was diagnosed in January 2022. Conclusion: bilateral ectopic pregnancy in a woman wishing to have children can be treated to preserve the patient's future fertility especially in developing countries where medically assisted reproduction is not yet available.
    },
     year = {2023}
    }
    

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    T1  - Spontaneous Bilateral Ectopic Tubal Pregnancy in Low-Resource Countries: About a Case in Burkina Faso, West Africa
    AU  - Ouattara Adama
    AU  - Lompo Dieudonné
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    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    AB  - Background: In developing countries, spontaneous bilateral tubal ectopic pregnancy is a very rare pathology. That form of extra-uterine pregnancy can lead to serious complication with high maternal morbidity and mortality if intervention is delayed. When diagnosed before the stage of complications, in particular tubal rupture, it essentially poses the problem of preserving subsequent fertility Case: the clinical case we present was documented in Burkina Faso, a country with limited resources in West africa, at the gynecology obstetrics and reproductive medicine department of the Bogdogo university hospital. We are sharing the case of a 30-year-old para 1 gravida 2 patient who presented the signs of unbroken ectopic pregnancy. An ultrasound scan noted a left and right tubal ectopic pregnancy. At laparotomy, bilateral non ruptured tubal ectopic pregnancy was encountered. We decided to perform a left total salpingectomy with good hemostasis. The right ectopic pregnancy was treated with a salpingotomy with careful extraction of the conception product to maintain fertility. Our patient became pregnant 6 months after treatment. The situation was diagnosed in January 2022. Conclusion: bilateral ectopic pregnancy in a woman wishing to have children can be treated to preserve the patient's future fertility especially in developing countries where medically assisted reproduction is not yet available.
    
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Author Information
  • Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso

  • Department of Gynecology-Obstetrics, Regional Center of Genecology-Obstetrics, Ziniaré, Burkina Faso

  • Department of Gynecology-Obstetrics, Treichville University Hospital, Abidjan, Cote d’Ivoire

  • Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso

  • Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso

  • Department of Gynecology-Obstetrics, Regional University Hospital, Ouahigouya, Burkina Faso

  • Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso

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