TITLE:
Ectopic Pregnancy Combined with Intra-Uterine Pregnancy with a Full-Term Live Baby: A Case Report and Review of Literature
AUTHORS:
Mamadou Almamy Keita, Daouda Camara, Abdoulaye Kanté, Assitan Koné, Abdoulaye Diarra, Bréhima Coulibaly, Zoseph Koné, Seydou Fané, Cheick Fantamady Camara, Assitan Traoré, Bakary Danfaga, Moussa Sogoba, Ismaila Simaga, Bakary Keita, Moussa Konaré, Jules Sangala, Drissa Traoré, Nouhoum Ongoiba
KEYWORDS:
Heterotopic Pregnancy, Diagnosis, Maternal and Fetus Prognostic
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.8 No.1,
January
28,
2019
ABSTRACT: Heterotopic pregnancy is no more a medical breakthrough. It combines intrauterine pregnancy and extra-uterine pregnancy regardless of location. We report a case of intra-uterine pregnancy associated with a ruptured abdominal ectopic pregnancy located on the pelvic colon in a 29-year-old patient, third gestation, primigravida, having a live baby and a prior history of two abortions. She has blood group O negative of Rhesus. It has been diagnosed at the stage of the rupture of ectopic pregnancy. An emergency laparotomy performed under blood transfusion has revealed heavy hemoperitoneum (1100 ml), a ruptured abdominal extra-uterine localized on the pelvic under blood transfusion and a bulging uterus. We have proceeded with the aspiration of hemoperitoneum, the ablation of the extra-uterine pregnancy and the hemostasis of the section part. The post-operative follow-up has been easy. The intra-uterine pregnancy has developed normally and has given birth to a full-term live, and healthy baby.