TITLE:
Bilateral Tubal Molar and Embryonic Pregnancy
AUTHORS:
Hyacinthe Zamane, Aimé Sosthène Ouedraogo, Yobi Alexis Sawadogo, Barnabé Yameogo, Yacinthe Sidbéwenné Kaboret, Paul Dantola Kain, Sibraogo Kiemtore, Adama Ouattara, Blandine Bonane Thieba
KEYWORDS:
Ectopic, Bilateral, Molar, Embryonic, Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.3,
March
16,
2018
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.