Abstract
Aim: To report a case of bilateral tubal molar and embryonic pregnancy diagnosed and treated at the Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Burkina Faso. Observation: It was an 18-year-old patient, G2P0 with no known pathological history. She was received in obstetric emergencies for suspicion of ectopic pregnancy in a two-month amenorrhea context. At the admission, the physical examination had found a sensitivity of the hypogastric region with a cry of the umbilicus and the bleeding. At pelvic ultrasound, the uterus was empty with a medium-abundance pelvic effusion and a left extra uterine mass. The initial rate of beta HCG was 5700 ml IU per ml. A framed laparotomy was carried out. The operative exploration has revealed a right tubal pregnancy cracked and a left unbroken tubal pregnancy. The diagnosis of a bilateral ectopic pregnancy was retained. A right salpingectomy and a left tubal caesarean section were carried out. Histological analysis confirmed the diagnosis of a left embryonic ectopic pregnancy associated with a right molar ectopic pregnancy. Conclusion: The systematic use of histological analysis for any extra uterine pregnancy treatment is required to not ignore an associated molar pregnancy.
Highlights
Observation: It was an 18-year-old patient, G2P0 with no known pathological history. She was received in obstetric emergencies for suspicion of ectopic pregnancy in a two-month amenorrhea context
Histological analysis confirmed the diagnosis of a left embryonic ectopic pregnancy associated with a right molar ectopic pregnancy
Vanita [7] reported a case of ectopic mole associated with a normal intrauterine pregnancy
Summary
The molar pregnancy can be more rarely extra uterine [2] [3] [4] [5] or exceptionally heterotopic [6]. Vanita [7] reported a case of ectopic mole associated with a normal intrauterine pregnancy. Bilateral ectopic pregnancy is rare [8] [9]. The subsequent prognosis of fertility is uncertain with a risk of infertility or recurrence of ectopic pregnancy. This is a real concern in a context where access to medically assisted procreation is limited. We report a case diagnosed and treated at the Yalgado Ouedraogo Teaching Hospital in Ouagadougou
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