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Journal of Case Reports
Heterotopic Pregnancy in Natural Uninduced Cycles: A Case Series with Two Positive Outcomes in a Semi-urban Area in Cameroon
R Tchounzou1,2, AG Simo Wambo1,2, T Nana Njamen1,3, François Dadao5, Felix Elong1,4, T Egbe Obintchemti1,3, Gregory Halle Ekane1,3 
Department of Obstetrics and Gynaecology, 1Faculty of  Health Sciences, University of Buea; 2Regional Hospital Limbe, Maternity service;  3Douala General Hospital; 4Regional Hospital Bue; 5Regional Hospital Garoua, Cameroon.
Corresponding Author:
Dr. R Tchounzou 
Email: rtchounzou@yahoo.fr
Received: 09-MAY-2018 Accepted: 03-NOV-2018 Published Online: 20-NOV-2018
DOI: http://dx.doi.org/10.17659/01.2018.0071
Background: Heterotopic pregnancy is a rare occurrence in natural uninduced pregnancy, representing about 1/30,000 live deliveries. In remote areas where diagnostic and therapeutic resources like ultrasonography and laparoscopy are scarce, the intra-uterine component often results in miscarriage. Case Report: We report on a series of three consecutive cases out of 5987 live births with two positive outcomes. Conclusion: We conclude that in our settings the incidence of heterotopic pregnancy is high due to high prevalence of pelvic inflammatory diseases and recommend that during laparotomy for ectopic pregnancy, minimal trauma should be caused to uterus to safeguard a potential intra-uterine pregnancy.  
Keywords : Abortion, Heterotopic Pregnancy, Live Birth, Pelvic Inflammatory Disease, Uterus.
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