%0 Journal Article
%T Full-term abdominal extrauterine pregnancy complicated by post-operative ascites with successful outcome: a case report
%A Masukume Gwinyai
%A Sengurayi Elton
%A Muchara Alfred
%A Mucheni Emmanuel
%J Journal of Medical Case Reports
%D 2013
%I BioMed Central
%R 10.1186/1752-1947-7-10
%X 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.
%U http://www.jmedicalcasereports.com/content/7/1/10