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Full-term extrauterine abdominal pregnancy: a case report
Amal A Dahab, Rahma Aburass, Wasima Shawkat, Reem Babgi, Ola Essa, Razaz H Mujallid
Journal of Medical Case Reports , 2011, DOI: 10.1186/1752-1947-5-531
Abstract: A 23-year-old, Middle Eastern, primigravida presented at 14 weeks gestation with intermittent suprapubic pain and dysuria. An abdominal ultrasound examination showed a single viable fetus with free fluid in her abdomen. A follow-up examination at term showed a breech presentation and the possibility of a bicornute uterus with the fetus present in the left horn of her uterus. Our patient underwent Cesarean delivery under general anesthesia and was found to have a small intact uterus with the fetus lying in her abdomen and surrounded by an amniotic fluid-filled sac. The baby was extracted uneventfully, but the placenta was implanted in the left broad ligament and its removal resulted in massive intraoperative bleeding that necessitated blood and blood products transfusion and the administration of Factor VII to control the bleeding. Both the mother and newborn were discharged home in good condition.An extrauterine abdominal pregnancy secondary to a ruptured ectopic pregnancy with secondary implantation could be missed during antenatal care and continue to term with good maternal and fetal outcome. An advanced extrauterine pregnancy should not result in the automatic termination of the pregnancy.An extrauterine abdominal pregnancy is a very rare form of ectopic pregnancy where implantation occurs within the peritoneal cavity, outside the Fallopian tube and ovary. It is estimated to occur in 10 out of 100,000 pregnancies in the United States [1]. The diagnosis of such a condition is frequently missed during antenatal care, despite the routine use of abdominal ultrasonography. However, it is extremely important to detect an extrauterine abdominal pregnancy because the associated maternal mortality rate is estimated at about five per 1000 cases, which is approximately seven times higher than the estimated rate for ectopic pregnancy in general, and about 90 times the maternal mortality rate associated with normal delivery in the United States [1]. Survival of the newborn i
Abdominal pregnancy with a full term live fetus: Case report  [cached]
Isah A,Ahmed Y,Nwobodo E,Ekele B
Annals of African Medicine , 2008,
Abstract: This is a case report of an abdominal pregnancy that was carried to term with live fetus. Illiteracy, poverty and lack of antenatal care had resulted in her late presentation. Bleeding per vagina, persistence abdominal pain, weight loss and pallor were the main clinical features. She had laparotomy and delivery of a live fetus.
Full-term abdominal extrauterine pregnancy complicated by post-operative ascites with successful outcome: a case report
Masukume Gwinyai,Sengurayi Elton,Muchara Alfred,Mucheni Emmanuel
Journal of Medical Case Reports , 2013, DOI: 10.1186/1752-1947-7-10
Abstract: Introduction Advanced abdominal (extrauterine) pregnancy is a rare condition with high maternal and fetal morbidity and mortality. Because the placentation in advanced abdominal pregnancy is presumed to be inadequate, advanced abdominal pregnancy can be complicated by pre-eclampsia, which is another condition with high maternal and perinatal morbidity and mortality. Diagnosis and management of advanced abdominal pregnancy is difficult. Case presentation We present the case of a 33-year-old African woman in her first pregnancy who had a full-term advanced abdominal pregnancy and developed gross ascites post-operatively. The patient was successfully managed; both the patient and her baby are apparently doing well. Conclusion Because most diagnoses of advanced abdominal pregnancy are missed pre-operatively, even with the use of sonography, the cornerstones of successful management seem to be quick intra-operative recognition, surgical skill, ready access to blood products, meticulous post-operative care and thorough assessment of the newborn.
A rare case of term viable secondary abdominal pregnancy following rupture of a rudimentary horn: a case report
Bhandary Amritha, Thirunavukkarasu Sumangali, Ballal Priya, Shedde Deepak, Rai Sharadha
Journal of Medical Case Reports , 2009, DOI: 10.1186/1752-1947-3-38
Abstract: This is a case report of a 22-year-old primigravida with an abdominal pregnancy from a ruptured rudimentary horn. She was diagnosed as a case of term pregnancy with placenta previa with a transverse fetal lie and cervical fibroid and was prepared for an elective cesarean section. Intra-operatively, a live term female baby was extracted from the peritoneal cavity and it turned out to be an abdominal pregnancy from a ruptured rudimentary horn of a unicornuate uterus, which is a very rare condition. Mother and baby were in good condition after such a catastrophic event.This case illustrates a rare obstetric condition which can be a severe catastrophic condition leading to maternal mortality and morbidity. It is imperative for every obstetrician to have in mind the possibility of abdominal pregnancy, although rare, especially in pregnant patients with persistent abdominal pain and painful fetal movements.An abdominal pregnancy is defined as an ectopic pregnancy that implants in the peritoneal cavity. Early abdominal pregnancy is self-limited by hemorrhage from trophoblastic invasion with complete abortion of the gestational sac that leaves a discrete crater. Advanced abdominal pregnancy is a rare event, with high fetal and maternal morbidity and mortality. It still remains a diagnostic and therapeutic challenge for every obstetrician and usually occurs after tubal abortion or rupture. Very rarely, it occurs following rupture of a rudimentary horn. We report a rare case of a term viable abdominal pregnancy following rupture of a rudimentary horn.A 22-year-old primigravida presented to the obstetrics department at 22 weeks gestation with a painful abdomen of 10 days duration. Her early pregnancy was uneventful and ultrasound examination had not been performed in the first trimester. On examination, her vital signs were stable and tenderness was present in the right iliac fossa and right lumbar region. The height of the uterus corresponded to 28 weeks gestation. Ultrasound
Live secondary abdominal pregnancy- by chance!!  [cached]
Akanksha Sood,R. D. Katke
International Journal of Reproduction, Contraception, Obstetrics and Gynecology , 2013, DOI: 10.5455/2320-1770.ijrcog20130634
Abstract: Abdominal pregnancy though rare but is a life threatening situation, if not recognized and managed properly. We are hereby presenting a rare successful outcome in a case of ruptured live Secondary Abdominal pregnancy with placental implants over intestines. [Int J Reprod Contracept Obstet Gynecol 2013; 2(2.000): 251-253]
Full - Term Pregnancy In An Incisional Hernia - A Case Report
S B Agaja, B F Ehalaiye
Nigerian Journal of Clinical Practice , 2007,
Abstract: We report a case of full-term pregnancy in a 40 year old woman who presented with her fifth pregnancy with the uterus in the incisional hernia sac hanging below the groin. She has had previous abdominal operation through a midline scar. Complication of the previous operation led to the incisional hernia into which she carried a full term pregnancy. Caesarian section and bilateral tubal ligation were done with repair of the incisional hernia with nonabsorbable suture with uneventful postoperative recovery. It is advised that surgeons carrying out abdominal operations for whatever reason, the operations should be done on fit patient as much as possible, proper incisions should be made and the fascia should be closed with non-absorbable sutures (mass closure) in order to avoid occurrence of incisional hernias. Emergency operations in the abdomen including caesarian section, surgical principles should always be observed.
Challenges in the Management of a Case of Secondary Abdominal Pregnancy  [PDF]
Alpana Singh, Vandana Mishra, Yashika Motwani, Pragati Meena
Open Journal of Obstetrics and Gynecology (OJOG) , 2015, DOI: 10.4236/ojog.2015.511094
Abstract: Introduction: Abdominal pregnancy, one of the rare forms of ectopic pregnancy demands a high index of suspicion for its timely diagnosis and intervention so as to prevent both maternal and neonatal complications. We presented a case of secondary abdominal pregnancy which was missed at the first instance at a private centre and came to us with nonspecific abdominal symptoms after an attempted termination of pregnancy by surgical means (dilation and curettage). Case presentation: A 24-year-old third gravida with two live issues at 10-week gestation came to us with complaints of pain lower abdomen, vomiting and inability to pass stool. She gave history of undergoing dilation and curettage (D&C) at a private hospital for termination of pregnancy about 20 days back. After thorough work-up and investigations, the diagnosis of secondary abdominal pregnancy was established and she was taken up for exploratory laparotomy with the removal of fetus with placenta. The patient progressed well with the postoperative period remaining uneventful. Conclusion: Secondary abdominal pregnancy poses as a challenge to clinicians working with limited diagnostic facilities. The condition may be life threatening if not handled meticulously.
Post-term abdominal pregnancy with good outcome
Modaress Nejad V
Acta Medica Iranica , 2002,
Abstract: Adbominal pregnancy is a rare and life-threatening from of ectopic pregnancy. The incidence is 10.9 per 100000 births and 9.2 per 1000 ectopic gestations. The abdominal pregnancy may rarely continue to term and if it happens the maternal and perinatal mortality and morbidity are increased. This paper reports on a 26-year-old multigravida with 41 weeks abdominal pregnancy managed successfully with good maternal and perinatal outome.
Ectopic Pregnancy Combined with Intra-Uterine Pregnancy with a Full-Term Live Baby: A Case Report and Review of Literature  [PDF]
Mamadou Almamy Keita, Daouda Camara, Abdoulaye Kanté, Assitan Koné, Abdoulaye Diarra, Bréhima Coulibaly, Zoseph Koné, Seydou Fané, Cheick Fantamady Camara, Assitan Traoré, Bakary Danfaga, Moussa Sogoba, Ismaila Simaga, Bakary Keita, Moussa Konaré, Jules Sangala, Drissa Traoré, Nouhoum Ongoiba
Case Reports in Clinical Medicine (CRCM) , 2019, DOI: 10.4236/crcm.2019.81004
Abstract: Heterotopic pregnancy is no more a medical breakthrough. It combines intrauterine pregnancy and extra-uterine pregnancy regardless of location. We report a case of intra-uterine pregnancy associated with a ruptured abdominal ectopic pregnancy located on the pelvic colon in a 29-year-old patient, third gestation, primigravida, having a live baby and a prior history of two abortions. She has blood group O negative of Rhesus. It has been diagnosed at the stage of the rupture of ectopic pregnancy. An emergency laparotomy performed under blood transfusion has revealed heavy hemoperitoneum (1100 ml), a ruptured abdominal extra-uterine localized on the pelvic under blood transfusion and a bulging uterus. We have proceeded with the aspiration of hemoperitoneum, the ablation of the extra-uterine pregnancy and the hemostasis of the section part. The post-operative follow-up has been easy. The intra-uterine pregnancy has developed normally and has given birth to a full-term live, and healthy baby.
Term Abdominal Pregnancy Misdiagnosed As Abruptio Placenta
JI Ikechebelu, DN Onwusulu, CN Chukwugbo
Nigerian Journal of Clinical Practice , 2005,
Abstract: A 37-year-old multiparous woman at 37th week gestation presented with an undiagnosed abdominal pregnancy and acute abdomen following forceful reduction of an associated utero-vaginal prolapse. She had an urgent laparotomy with delivery of a live female baby lying in the left broad ligament. The baby weighed 2.6kg with Apgar scores of 2 and 6 at first and fifth minutes respectively. The partially detached placenta was easily delivered complete with membranes. Haemostasis was secured by ligation and excision of the left adnexum (broad ligament with the pregnancy sac and uterine appendages). She was transfused with two units of whole blood. This case highlights the importance of excluding pregnancy in any woman of reproductive age with undiagnosed abdominal mass and utero-vaginal prolapse before any manipulation. It also underscores the importance of ultrasound scan in early pregnancy by a competent sonologist. Nigerian Journal of Clinical Practice Vol 8(1) 2005: 43-45
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