Heterotopic pregnancy in a rural area in Haiti: case report

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dc.contributor.authorJean, Marie B閠yen_US
dc.contributor.authorDorc閘us, Ludentzen_US
dc.contributor.authorBouloute, Makenzyen_US
dc.date.accessioned2024-09-24T10:58:44Z
dc.date.available2024-09-24T10:58:44Z
dc.date.issued2023-11
dc.description.abstractHeterotopic pregnancy can be defined as the coexistence of at least two pregnancies in different implantation sites. It抯 a rare entity, but its diagnosis is becoming more common because of assisted reproduction techniques and ultrasound improvement techniques. The clinical symptoms are also similar to ectopic pregnancy, but a high suspicion index is needed to avoid diagnosis delay and subsequent unfavourable outcomes. This is the case of a 36-year-old female with heterotopic pregnancy who presented with shock symptoms and substantial delay in diagnosis due to socio-political crisis in Haiti at the time. Initial hemoglobin was at 6 g/dl. Transabdominal ultrasound showed an intra-uterine live fetus of 11 weeks 6 days along with a left adnexal mass and free fluid in the Douglas cul-de-sac. She was urgently transferred to the operation room where we performed a left annexectomy through laparotomy. She didn抰 get blood transfusion due to shortage at the blood bank of the hospital. The patient抯 post-op and pregnancy course were uneventful until the vaginal birth of her child who is alive and well today. We want to highlight the importance of optimizing healthcare access to the most vulnerable and careful adnexal evaluation. It is also important to reinforce the health system in Haiti to secure prenatal care and blood transfusion for all pregnant women.en_US
dc.identifier.affiliationsDepartment of Family Medicine, Zanmi Lasante, Saint-Nicolas Hospital, Saint-Marc, Ha飔ien_US
dc.identifier.affiliationsDepartment of Family Medicine, Zanmi Lasante, Saint-Nicolas Hospital, Saint-Marc, Ha飔ien_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Zanmi Lasante, Saint-Nicolas Hospital, Saint-Marc, Ha飔ien_US
dc.identifier.citationJean Marie B閠y, Dorc閘us Ludentz, Bouloute Makenzy . Heterotopic pregnancy in a rural area in Haiti: case report . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Nov; 12(11): 3378-3381en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/234697
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber11en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20233313en_US
dc.subjectShock in heterotopic pregnancyen_US
dc.subjectCase reporten_US
dc.subjectTransabdominal ultrasounden_US
dc.titleHeterotopic pregnancy in a rural area in Haiti: case reporten_US
dc.typeJournal Articleen_US
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