Abdominal pregnancy: A cause of failed induction of labour

Lamina, Mustafa Adelaja; Akinyemi, B O; Fakoya, T A; Shorunmu, T.O.; Oladapo, OT

doi:10.4314/njm.v14i2.37183

Cited by 8 publications

(9 citation statements)

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“…3,14,15 In rare cases, the pregnancy may be diagnosed after a failed induction due to lack of myometrial response to oxytocin stimulation. 16 In order to make the diagnosis, all women of reproductive age with abdominal pain, vaginal bleeding, or menstrual abnormalities should be tested for pregnancy. Once pregnancy is established, the location of the pregnancy (intrauterine or extrauterine) is typically made by ultrasound examination.…”

Section: Discussionmentioning

confidence: 99%

Lithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report

Oliveira

Santos

Duarte

et al. 2019

Rev Bras Ginecol Obstet

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Ectopic pregnancy is the leading cause of pregnancy-related death during the first trimester, and it occurs in 1 to 2% of pregnancies. Over 90% of ectopic pregnancies are located in the fallopian tube. Abdominal pregnancy refers to an ectopic pregnancy that has implanted in the peritoneal cavity, external to the uterine cavity and fallopian tubes. The estimated incidence is 1 per 10,000 births and 1.4% of ectopic pregnancies. Lithopedion is a rare type of ectopic pregnancy, and it occurs when the fetus from an unrecognized abdominal pregnancy may die and calcify. The resulting "stone baby" may not be detected for decades and may cause a variety of complications. Lithopedion is a very rare event that occurs in 0.0054% of all gestations. About 1.5 to 1.8% of the abdominal babies develop into lithopedion. There are only $ 330 known cases of lithopedion in the world. We describe a lithopedion that complicated as intestinal obstruction in a 71-year-old woman.Alexandre Sabino Sisnando's ORCID is https://orcid.org/0000-0002-2529-1479.

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Section: Discussionmentioning

confidence: 99%

Lithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report

Oliveira

Santos

Duarte

et al. 2019

Rev Bras Ginecol Obstet

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“…Some patients may present with an acute abdominal pain and shock due to severe hemorrhage from placental separation or rupture of viscus or maternal blood vessels [11, 12]. In undiagnosed cases, others may present as a result of failed induction due to lack of myometrial response to oxytocin and/or inability to ripen the cervix with intracervical Foley catheter and misoprostol tablet [13]. …”

Section: Discussionmentioning

confidence: 99%

Acute Intestinal Obstruction Complicating Abdominal Pregnancy: Conservative Management and Successful Outcome

Udigwe

Eleje

Ihekwoaba

et al. 2016

Case Reports in Obstetrics and Gynecology

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Background. Acute intestinal obstruction during pregnancy is a very challenging and unusual nonobstetric surgical entity often linked with considerable fetomaternal morbidity and mortality. When it is synchronous with abdominal pregnancy, it is even rarer. Case Presentation. A 28-year-old lady in her second pregnancy was referred to Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, at 27 weeks of gestation due to vomiting, constipation, and abdominal pain. Examination and ultrasound scan revealed a single live intra-abdominal extrauterine fetus. Plain abdominal X-ray was diagnostic of intestinal obstruction. Conservative treatment was successful till the 34-week gestational age when she had exploratory laparotomy. At surgery, the amniotic sac was intact and the placenta was found to be adherent to the gut. There was also a live female baby with birth weight of 2.3 kg and Apgar scores of 9 and 10 in the 1st and 5th minutes, respectively, with the baby having right clubbed foot. Adhesiolysis and right adnexectomy were done. The mother and her baby were well and were discharged home nine days postoperatively. Conclusion. To the best of our knowledge, this is the first report of abdominal pregnancy as the cause of acute intestinal obstruction in the published literature. Management approach is multidisciplinary.

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“…While the perinatal mortality ranges from 40 to 95 percent (5). Clinical diagnosis may be suspected from abdominal pain, vaginal bleeding, adnexal mass, gastrointestinal symptoms, tenderness and in later stages as abnormal lie, superficially palpable fetal parts, painful fetal movements, failed induction of labor and intrauterine fetal death (6)(7)(8)(9).…”

Section: Discussionmentioning

confidence: 99%

Abdominal pregnancy: Methods of hemorrhage control

Kunwar

Khan

Srivastava

2015

IRDR

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Abdominal pregnancy is an extremely rare form of ectopic pregnancy, mostly occurring secondarily after tubal rupture or abortion with secondary implantation anywhere in the peritoneal cavity. Massive intra-abdominal hemorrhage is a life threatening complication associated with secondary abdominal pregnancy. Various methods and techniques have been reported in the literature for controlling hemorrhage. Here, we report a case of massive intraperitoneal haemorrhage following placental removal controlled by abdominal packing and review the literature for diagnostic and management challenges.

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Abdominal pregnancy: A cause of failed induction of labour

Cited by 8 publications

References 0 publications

Lithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report

Lithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report

Acute Intestinal Obstruction Complicating Abdominal Pregnancy: Conservative Management and Successful Outcome

Abdominal pregnancy: Methods of hemorrhage control

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