Bilateral Tubal Molar and Embryonic Pregnancy

• 作者: Adama Ouattara Aimé Sosthène Ouedraogo Barnabé Yameogo Blandine Bonane Thieba Hyacinthe Zamane Paul Dantola Kain Sibraogo Kiemtore Yacinthe Sidbéwenné Kaboret Yobi Alexis Sawadogo
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: ECTOPIC BILATERAL MOLAR EMBRYONIC PREGNANCY
• 年，卷（期）: fckqkyw_2018,（3）
• 页码范围: 230-235
• 页数: 6页
• 分类号: R73

摘要

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.