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Abstract
Les auteurs rapportent un cas de manœuvre abortive sur une grossesse extra-utérine (GEU) méconnue. Leur but est d’insister sur la rigueur à avoir dans la démarche diagnostique, clinique et paraclinique (β-hCG plasmatique, échographie, coelioscopie) auprès des professionnels de santé, mais bien plus , de sensibiliser à large échelle sur tout élément de surveillance post-abortum pouvant justifier un transfert auprès d’une formation sanitaire mieux équipée pour une meilleure prise en charge.
The authors report a case of abortion maneuver on an unknown ectopic pregnancy.
The goal is to emphasize the importance of proper management (plasma β-hCG assay, sonography, laparoscopy ) by health personnel, and to raise awareness on post-abortum monitoring for early referral of patients to well equipped centers for better management.
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References
- - Enquête Démographique et de Santé du Cameroun 2004.
- - American Fertility Society. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion secondary to tubal ligation, tubal pregnancies, Müllerian anomalies and intrauterine adhesions. Fertil Steril 1988 ;49:944-955.
- - Nkwabong E. Complications des interruptions volontaires de grossesse à l’Hôpital Central de Yaoundé. Mémoire d’obtention du diplôme de spécialiste en Gynécologie-obstétrique. Faculté de Médecine et de Sciences Biomédicales, Université de Yaoundé I; 1999.
- - Nana PN, Fomulu JN, Mbu RE, Ako SN, Leke RJI. A four- year retrospective review of postabortal surgical complications at the Central maternity Yaounde, Cameroon. Clin Mother Child Health 2005;2(2):359-363.
- - Nji-Ako S, Mbu RE, Nana PN, Tonye R, Eteki N, Leke RJI. Complications of first and second trimester pregnancy among adolescents admitted in the maternity of Yaounde Central Hospital, Cameroon. Health Sciences and disease 2002;2:12-15.
- - Leke RJI, Awah PK, Forgwei G, Amin Martin E. Complications of abortion and post abortal care in rural district hospitals in the Centre and South provinces of Cameroon. Health Sciences and disease 2: 33-37, 2000.
- - Leke RJI. Outcome of unwanted pregnancy in the central maternity , Central Hospital Yaounde. Ann Univ Sc Santé 1987;4(1):332-330.
- - Leke RJI. Commentary on unwanted pregnancy and abortion complications in Cameroon. Int J Gynecol Obstet suppl 1989;3:33-35.
- - Kouam L, Kamdom-Moyo J, Ngassa P, Doh AS, Salihu M. Management of ectopic pregnancy by laparotomy and subsequent fertility. Journal of Obstetrics and Gynaecology 1998;18(2):169-170.
- - Thonneau P, Matsuda T, Goyaux N, Djauhan Y, Yace-Soumah F, Welffens C. Determinants of maternal deaths in induced abortion complications in Ivory Coast. Contraception 1999 ;60:107-109.
- -Bamouni YA, Cissé R,Kaboré A, Lougue/Sorgho LC. Valeur de l’échographie sus-pubienne dans le diagnostic de la grossesse extra-utérine au CHUYO de OUAGADOUGOU. J Afr Imag Med 2(4):241-148.
- - Darai E, Sitbon D, Benifla JL, Sebban E, Renoleau C, Madelenat P. Indications actuelles du traitement médical de la grossesse extra-utérine. Rev Fr Gynecol Obstét 1995;90(12):552-557.
- - Pouly JL, Chapron C, Manhès H, Canis M, Wattiez A, Bruhat MA. Multifactorial analysis of fertility after conservative laparoscopic treatment of ectopic pregnancy in a series of 223 patients. Fertil Steril 1991;56:453-60.
- - Mboudou E, Ndoumba A, Foumane P, Ze Minkande J, Belley Priso E, Nnang GM et al. Traitement médical de la grossesse extra-utérine par utilisation de methotrexate intra-musculaire en milieu Africain. J Afr Imag Méd 2007;2(4):234-240.
References
- Enquête Démographique et de Santé du Cameroun 2004.
- American Fertility Society. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion secondary to tubal ligation, tubal pregnancies, Müllerian anomalies and intrauterine adhesions. Fertil Steril 1988 ;49:944-955.
- Nkwabong E. Complications des interruptions volontaires de grossesse à l’Hôpital Central de Yaoundé. Mémoire d’obtention du diplôme de spécialiste en Gynécologie-obstétrique. Faculté de Médecine et de Sciences Biomédicales, Université de Yaoundé I; 1999.
- Nana PN, Fomulu JN, Mbu RE, Ako SN, Leke RJI. A four- year retrospective review of postabortal surgical complications at the Central maternity Yaounde, Cameroon. Clin Mother Child Health 2005;2(2):359-363.
- Nji-Ako S, Mbu RE, Nana PN, Tonye R, Eteki N, Leke RJI. Complications of first and second trimester pregnancy among adolescents admitted in the maternity of Yaounde Central Hospital, Cameroon. Health Sciences and disease 2002;2:12-15.
- Leke RJI, Awah PK, Forgwei G, Amin Martin E. Complications of abortion and post abortal care in rural district hospitals in the Centre and South provinces of Cameroon. Health Sciences and disease 2: 33-37, 2000.
- Leke RJI. Outcome of unwanted pregnancy in the central maternity , Central Hospital Yaounde. Ann Univ Sc Santé 1987;4(1):332-330.
- Leke RJI. Commentary on unwanted pregnancy and abortion complications in Cameroon. Int J Gynecol Obstet suppl 1989;3:33-35.
- Kouam L, Kamdom-Moyo J, Ngassa P, Doh AS, Salihu M. Management of ectopic pregnancy by laparotomy and subsequent fertility. Journal of Obstetrics and Gynaecology 1998;18(2):169-170.
- Thonneau P, Matsuda T, Goyaux N, Djauhan Y, Yace-Soumah F, Welffens C. Determinants of maternal deaths in induced abortion complications in Ivory Coast. Contraception 1999 ;60:107-109.
-Bamouni YA, Cissé R,Kaboré A, Lougue/Sorgho LC. Valeur de l’échographie sus-pubienne dans le diagnostic de la grossesse extra-utérine au CHUYO de OUAGADOUGOU. J Afr Imag Med 2(4):241-148.
- Darai E, Sitbon D, Benifla JL, Sebban E, Renoleau C, Madelenat P. Indications actuelles du traitement médical de la grossesse extra-utérine. Rev Fr Gynecol Obstét 1995;90(12):552-557.
- Pouly JL, Chapron C, Manhès H, Canis M, Wattiez A, Bruhat MA. Multifactorial analysis of fertility after conservative laparoscopic treatment of ectopic pregnancy in a series of 223 patients. Fertil Steril 1991;56:453-60.
- Mboudou E, Ndoumba A, Foumane P, Ze Minkande J, Belley Priso E, Nnang GM et al. Traitement médical de la grossesse extra-utérine par utilisation de methotrexate intra-musculaire en milieu Africain. J Afr Imag Méd 2007;2(4):234-240.