Spontaneous Bilateral Ectopic Tubal Pregnancy in Low-Resource Countries: About a Case in Burkina Faso, West Africa

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Résumé

<i>Background</i>: In developing countries, spontaneous bilateral tubal ectopic pregnancy is a very rare pathology. That form of extra-uterine pregnancy can lead to serious complication with high maternal morbidity and mortality if intervention is delayed. When diagnosed before the stage of complications, in particular tubal rupture, it essentially poses the problem of preserving subsequent fertility <i>Case</i>: the clinical case we present was documented in Burkina Faso, a country with limited resources in West africa, at the gynecology obstetrics and reproductive medicine department of the Bogdogo university hospital. We are sharing the case of a 30-year-old para 1 gravida 2 patient who presented the signs of unbroken ectopic pregnancy. An ultrasound scan noted a left and right tubal ectopic pregnancy. At laparotomy, bilateral non ruptured tubal ectopic pregnancy was encountered. We decided to perform a left total salpingectomy with good hemostasis. The right ectopic pregnancy was treated with a salpingotomy with careful extraction of the conception product to maintain fertility. Our patient became pregnant 6 months after treatment. The situation was diagnosed in January 2022. <i>Conclusion</i>: bilateral ectopic pregnancy in a woman wishing to have children can be treated to preserve the patient's future fertility especially in developing countries where medically assisted reproduction is not yet available.

Mots-clés

Ectopic pregnancy, Medicine, Obstetrics, Developing country, Gynecology, Pregnancy, Economic growth, Economics, Biology