Aim: To report a case of bilateral tubal molar and embryonic pregnancy diagnosed\nand treated at the Yalgado Ouedraogo Teaching Hospital in Ouagadougou,\nBurkina Faso. Observation: It was an 18-year-old patient, G2P0 with\nno known pathological history. She was received in obstetric emergencies for\nsuspicion of ectopic pregnancy in a two-month amenorrhea context. At the\nadmission, the physical examination had found a sensitivity of the hypogastric\nregion with a cry of the umbilicus and the bleeding. At pelvic ultrasound, the\nuterus was empty with a medium-abundance pelvic effusion and a left extra\nuterine mass. The initial rate of beta HCG was 5700 ml IU per ml. A framed\nlaparotomy was carried out. The operative exploration has revealed a right\ntubal pregnancy cracked and a left unbroken tubal pregnancy. The diagnosis\nof a bilateral ectopic pregnancy was retained. A right salpingectomy and a left\ntubal caesarean section were carried out. Histological analysis confirmed the\ndiagnosis of a left embryonic ectopic pregnancy associated with a right molar\nectopic pregnancy. Conclusion: The systematic use of histological analysis for\nany extra uterine pregnancy treatment is required to not ignore an associated\nmolar pregnancy.
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