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Blighted ovum and tubal pregnancy: a rare form of heterotopic pregnancy: case report

Article scientifique 2018 Anglais

Résumé

BACKGROUND: Heterotopic pregnancies are rare in spontaneous conceptions. Nonetheless, when it does occur, the intrauterine pregnancy is usually viable. We herein present a true rarity of the coexistence of a blighted ovum and an ectopic pregnancy. CASE PRESENTATION: A 25 year old G2P1001 married seamstress of African ethnicity at 8 weeks of amenorrhoea presented to our health facility with a 4 day history of lower abdominal pains and vaginal bleeding for which physical examination revealed a closed cervix. Trans-abdominal ultrasound scan confirmed a diagnosis of a blighted ovum and an ectopic pregnancy. Patient was managed with surgical therapy. Evolution thereafter was uneventful. CONCLUSION: The case presented confirms that HP can occur in the absence of predisposing factors, and that the detection of a blighted ovum should not preclude the possibility of a simultaneous ectopic pregnancy. A high index of suspicion could lead to early diagnosis, prompt management and a favourable prognosis even in a low-income setting.

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Aroke, D., Ngek, L., Tindong, M., Fomanka, E., Achu, C., Tanah, A., Kadia, B. (2018). Blighted ovum and tubal pregnancy: a rare form of heterotopic pregnancy: case report. https://doi.org/10.1186/s13104-018-3345-2

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Auteur(s)

Desmond Aroke Larry Tangie Ngek Maxime Tindong Esua Fomanka Colette Achu Arnold Agwe Tanah Benjamin Momo Kadia

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