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Abstract
RÉSUMÉ
Malgré des progrès majeurs en matière de diagnostic et de traitement, la grossesse extra-utérine (GEU) continue d’être une cause majeure de mortalité maternelle au premier trimestre de grossesse. La récidive de GEU sur moignon tubaire restant est un phénomène rare, ainsi nous rapportons le cas d’une grossesse extra-utérine rompue sur moignon tubaire après une salpingectomie totale de ladite trompe prise en charge au CHRACERH, chez une patiente de 36 ans G4P1021. Ce rapport de cas met en lumière d’une part la problématique diagnostique et d’autre part la maitrise chirurgicale d’une salpingectomie première afin de pallier à cette problématique de santé publique.
ABSTRACT
Despite major advances in diagnosis and treatment, ectopic pregnancy (EP) continues to be a major cause of maternal mortality in the first trimester of pregnancy. Recurrence of ectopic pregnancy on a remaining tubal stump is a rare , and we report the case of a ruptured ectopic pregnancy on a tubal stump after total salpingectomy of the said tube managed at CHRACERH, in a 36-year-old patient G4P1021. This case report highlights both the diagnostic problem and the surgical management of a first salpingectomy in order to alleviate this public health problem.
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References
- Mol F, van Mello NM, Strandell A, Strandell K, Jurkovic D, Ross J, et al. Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial. Lancet. 2014;383:1483–9.
- Homagain S, Kharal N, Khanal H, Shahi T, Pandey J, Katuwal N. Ruptured ectopic pregnancy on a tubal stump: A case report. Clin Case Reports. 2022;10(9):1–5.
- Creanga AA, Shapiro-Mendoza CK, Bish CL, Zane S, Berg CJ, Callaghan WM. Trends in ectopic pregnancy mortality in the United States: 1980-2007. Obstet Gynecol. 2011;117(4):837–43.
- Ko PC, Liang CC, Lo TS, Huang HY. Six cases of tubal stump pregnancy: Complication of assisted reproductive technology? Fertil Steril [Internet]. 2011;95(7):2432.e1-2432.e4. Available from: http://dx.doi.org/10.1016/j.fertnstert.2011.03.069
- Takeda A, Manabe S, Mitsui T, Nakamura H. Spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy: Report of two cases. J Obstet Gynaecol Res. 2006;32(2):190–4.
- Jacob, Louis; Kalder, Mathias; Kostev K. Risk factors for ectopic pregnancy in Germany : a retrospective study of 100 , 197 patients Risikofaktoren für eine Extrauteringravidität in Deutschland : eine. Ger Med Sci. 2017;15:1-9-doi:10.5061/dryad.pv805.
- Urman B, Fluker MR, Ho Yuen B, Bettina Fleige-Zahradka CG, Zouves CG, Young Moon CS. FERTILITY AND STERILITY The outcome of in vitro fertilization and embryo transfer in women with polycystic ovary syndrome failing to conceive after ovulation induction with exogenous gonadotropins. Vol. 57. 1992.
- Keeping D, Harrison K, Sherrin D. Ectopic Pregnancy Contralateral to Unilateral GIFT. Aust New Zeal J Obstet Gynaecol. 1993;33(1):95–6.
- Eskandar O, Eckford SD. Pelvic haematoma and severe gluteal bruising associated with Ehler-Danlos syndrome following posterior colpoperineorrhaphy. J Obstet Gynaecol (Lahore). 2009;29(1):68–9.
- Sturlese E, Retto G, Palmara V, De Dominici R, Lo Re C, Santoro G. Ectopic pregnancy in tubal remnant stump after ipsilateral adnexectomy for cystic teratoma. Arch Gynecol Obstet. 2009;280(6):1015–7.
- Kumari P ; Departement of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi 110001, India ; Lal P. Ectopic pregnancy in tubal remnant. J Case rep. 2015;5(1) :24-25.
References
Mol F, van Mello NM, Strandell A, Strandell K, Jurkovic D, Ross J, et al. Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial. Lancet. 2014;383:1483–9.
Homagain S, Kharal N, Khanal H, Shahi T, Pandey J, Katuwal N. Ruptured ectopic pregnancy on a tubal stump: A case report. Clin Case Reports. 2022;10(9):1–5.
Creanga AA, Shapiro-Mendoza CK, Bish CL, Zane S, Berg CJ, Callaghan WM. Trends in ectopic pregnancy mortality in the United States: 1980-2007. Obstet Gynecol. 2011;117(4):837–43.
Ko PC, Liang CC, Lo TS, Huang HY. Six cases of tubal stump pregnancy: Complication of assisted reproductive technology? Fertil Steril [Internet]. 2011;95(7):2432.e1-2432.e4. Available from: http://dx.doi.org/10.1016/j.fertnstert.2011.03.069
Takeda A, Manabe S, Mitsui T, Nakamura H. Spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy: Report of two cases. J Obstet Gynaecol Res. 2006;32(2):190–4.
Jacob, Louis; Kalder, Mathias; Kostev K. Risk factors for ectopic pregnancy in Germany : a retrospective study of 100 , 197 patients Risikofaktoren für eine Extrauteringravidität in Deutschland : eine. Ger Med Sci. 2017;15:1-9-doi:10.5061/dryad.pv805.
Urman B, Fluker MR, Ho Yuen B, Bettina Fleige-Zahradka CG, Zouves CG, Young Moon CS. FERTILITY AND STERILITY The outcome of in vitro fertilization and embryo transfer in women with polycystic ovary syndrome failing to conceive after ovulation induction with exogenous gonadotropins. Vol. 57. 1992.
Keeping D, Harrison K, Sherrin D. Ectopic Pregnancy Contralateral to Unilateral GIFT. Aust New Zeal J Obstet Gynaecol. 1993;33(1):95–6.
Eskandar O, Eckford SD. Pelvic haematoma and severe gluteal bruising associated with Ehler-Danlos syndrome following posterior colpoperineorrhaphy. J Obstet Gynaecol (Lahore). 2009;29(1):68–9.
Sturlese E, Retto G, Palmara V, De Dominici R, Lo Re C, Santoro G. Ectopic pregnancy in tubal remnant stump after ipsilateral adnexectomy for cystic teratoma. Arch Gynecol Obstet. 2009;280(6):1015–7.
Kumari P ; Departement of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi 110001, India ; Lal P. Ectopic pregnancy in tubal remnant. J Case rep. 2015;5(1) :24-25.