{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:42:58Z","timestamp":1747190578998,"version":"3.40.5"},"reference-count":8,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T00:00:00Z","timestamp":1637193600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2021,11,18]]},"abstract":"<jats:p>Heterotopic pregnancy (HP) is a dizygotic twin pregnancy in which one gestational sac is intrauterine and the other is extrauterine. The prevalence of HP is unknown in Cameroon where the diagnosis is difficult and usually fortuitous like in other resource-poor settings. We herein depict pitfalls and delays in the diagnosis and management of a ruptured heterotopic pregnancy at the Yaounde University Teaching Hospital. After a wrong diagnosis and inadequate treatment, our patient presented at our emergency unit with severe pelvic pain and clinical signs of hemoperitoneum with shock. She underwent a total left salpingectomy through laparotomy. She had a complete spontaneous abortion five days after the surgery. Given that sonography is not routinely available in emergency departments in resource-poor settings, it may be relevant for practitioners to always bear HP in mind when facing ruptured ectopic pregnancies.<\/jats:p>","DOI":"10.1155\/2021\/7970646","type":"journal-article","created":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T18:50:09Z","timestamp":1637261409000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)"],"prefix":"10.1155","volume":"2021","author":[{"given":"Andre Ngandji","family":"Dipanda","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, P.O. Box 1364, Yaounde, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0055-0902","authenticated-orcid":true,"given":"Jovanny Tsuala","family":"Fouogue","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Pharmaceutical Sciences of the University of Dschang, P.O. Box 96, Dschang, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valere Koh","family":"Mve","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, P.O. Box 1364, Yaounde, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Kenfack","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Pharmaceutical Sciences of the University of Dschang, P.O. Box 96, Dschang, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Dupont Ngowa","family":"Kemfang","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, P.O. Box 1364, Yaounde, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.15557\/JoU.2018.0052"},{"key":"2","first-page":"238","article-title":"Ectopic pregnancy","volume-title":"Williams Obstetrics","author":"F. G. Cunningham","year":"2006","edition":"23rd ed."},{"key":"3","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2013.16.106.3506"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.4103\/1117-1936.186302"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.0529-567x.2018.11.007"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/317592"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2020.07.008"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2017.03.003"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2021\/7970646.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2021\/7970646.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2021\/7970646.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T18:50:13Z","timestamp":1637261413000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criog\/2021\/7970646\/"}},"subtitle":[],"editor":[{"given":"Akihisa","family":"Fujimoto","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,11,18]]},"references-count":8,"alternative-id":["7970646","7970646"],"URL":"https:\/\/doi.org\/10.1155\/2021\/7970646","relation":{},"ISSN":["2090-6692","2090-6684"],"issn-type":[{"type":"electronic","value":"2090-6692"},{"type":"print","value":"2090-6684"}],"subject":[],"published":{"date-parts":[[2021,11,18]]}}}