%0 Journal Article
%T Full-term extrauterine abdominal pregnancy: a case report
%A Amal A Dahab
%A Rahma Aburass
%A Wasima Shawkat
%A Reem Babgi
%A Ola Essa
%A Razaz H Mujallid
%J Journal of Medical Case Reports
%D 2011
%I BioMed Central
%R 10.1186/1752-1947-5-531
%X 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
%U http://www.jmedicalcasereports.com/content/5/1/531