Adjunctive Use of Esomeprazole in the Treatment of Pre-Eclampsia: A Case Report and Literature Review

Oriaifo, S. E.

doi:10.20959/wjpps20176-9372

Cited by 6 publications

(9 citation statements)

References 44 publications

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“…Or alternative of uterus sparing method and leaving the placenta insitu for autolysis (LISA) and follow up or use of methotrecxate. [7][8][9] In this case had this patient been investigated and had a planned delivery, maybe we could have proceeded with alternative method and may be her uterus and baby were salvageable. Every case is a new case and different, hence proper evaluation of anatomy is mandatory.…”

Section: Discussionmentioning

confidence: 95%

Broad ligament term pregnancy in an unscarred uterus: misdiagnosis and the challenges

Singh

Chauhan

2019

Int J Reprod Contracept Obstet Gynecol

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A broad ligament pregnancy is a rare condition, but full term broad ligamnet pregnancy especially in an unscarred uterus is extremely rare. It is often misdiagnosed and usually finally diagnosed during surgery. Here is case of full term broad ligament pregnancy, which remained undiagnosed throughout her pregnancy, unfortunately had IUFD. Patient was referred to our hospital in view of failure of induction with increased BP records. No ultrasound was available on admission. On clinical assessment it appeared as transverse lie with IUFD. So cesarean was decided as a mode of delivery. Emergency ultrasound could just confirm IUFD with pelvic mass? Fibroid (actually deviated uterus). On laparotomy the broad ligament pseudosac had occupied entire abdomen. After delivery of baby, anatomy was found completely distorted. Highly vascular omental adhesions on fundus with difficulty in placental removal. Placenta could be traced reaching abdomen posteriorly. The first clinical impression was suspicion of placenta percreta. Uterus appeared non salvageable and hysterectomy was decided. Placenta was found lying in abdomen, adhered to bowel, omentum and fundus of uterus. The final diagnosis of broad ligament pregnancy could be made after the cut section of the uterus and anatomic evaluation. Patient required blood transfusions preoperatively .She remained stable and discharged on postoperative day nine. This case holds importance because may be outcome was different if it was a booked and investigated pregnancy. May be baby and uterus were salvageable with better outcome.

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Section: Discussionmentioning

confidence: 95%

Broad ligament term pregnancy in an unscarred uterus: misdiagnosis and the challenges

Singh

Chauhan

2019

Int J Reprod Contracept Obstet Gynecol

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“…15 Magnetic Resonance Imaging (MRI) is a useful tool to confirm the diagnosis of ectopic pregnancy. 16 However, these facilities are rarely accessible in the remote area of the developing countries.…”

Section: Discussionmentioning

confidence: 99%

“…21 If the haemostasis is not feasible, it is recommended to leave the placenta in situ to avoid the torrential bleeding. 22 If the placenta is left in situ, methotrexate adjunctive therapy with the dosage of 1mg/kg can be given to enhance the autolysis of the placental tissues. 22 Adjunctive Methotrexate therapy was given to this case to enhance the resorption of placenta tissues.…”

Section: Discussionmentioning

confidence: 99%

Advanced abdominal pregnancy with dead foetus: a case report

Htay

Than

Soe

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Abdominal pregnancy is a rare form of ectopic pregnancy in which the zygote implanted within the peritoneal cavity exception at ovaries, fallopian tubes and intra ligament spaces. The diagnosis is challenging and can be missed especially when the imaging facilities are not available in remote areas.A 35 years old, G3P2+0 was admitted to the hospital at 38+2 weeks of pregnancy with the chief complaint of reduced foetal movement for three days. She was taking regular antenatal care with the midwife at the rural health centre and uneventful until 37 weeks of pregnancy. On physical examination, the abdomen was distended, the foetal parts were easily palpable, no visible foetal movement and the foetal heart sound was not audible. Abdominal ultrasound scan identified the term foetus of abdominal pregnancy without foetal cardiac activity. The patient underwent laparotomy and dead, male foetus was extracted uneventfully. The placenta was attached to intestines and mesentery so that which was removed with great caution and secured haemostasis. The mother’s condition was stable throughout the operation and did not need to give the blood transfusion. The sutures were removed after 7 days and the healthy patient discharged from the hospital.Abdominal pregnancy is a rare condition and the diagnosis can be missed during the antenatal period and hence it is crucial to raise the awareness of health care personals especially in remote areas. The suspicious case of abdominal pregnancy should be referred to the experienced clinicians in the centres with diagnosis facilities.

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“…3The presence of pregnancy related exclusively to the peritoneal surface early enough to eliminate the possibility of secondary implantation after primary tubal nidation. [5,6] The sites of implantation can be omentum, pelvic sidewall, broad ligament, cul-de-sac, spleen, bowel, liver, diaphragm, and serosa of the uterus. [6,7] In our patient, the sac was located on the left lateral pelvic wall.…”

Section: Discussionmentioning

confidence: 99%

An unusual case of abdominal pregnancy after bilateral tubal block

Murarka

Goenka

2016

IVF Lite

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Here, we report a rare case of abdominal pregnancy after left-sided proximal tubal occlusion and right-sided salpingectomy. A 28-year-old patient came to us with a history of primary infertility. On investigations, left mid-tubal block and right hydrosalpinx were seen. Laparoscopic right salpingectomy with left proximal tubal occlusion was done. In vitro fertilization was done, but result was negative. One and a half months later, the patient presented with amenorrhea of 6 weeks and Transvaginal sonography showed gestation sac in the left adnexa. Emergency laparoscopy was done. The left tube was skeletonized after adhesiolysis, but no pregnancy was seen in the tube. Gestational sac was identified in the lateral pelvic wall. Severe bleeding was encountered during removal and sac was finally removed after laparotomy. Histopathological examination (HPE) of the tube showed endometriosis and HPE of the sac showed trophoblastic tissue without any ovarian tissue. The absence of ovarian tissue in HPE of sac confirms this case as abdominal pregnancy.

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Adjunctive Use of Esomeprazole in the Treatment of Pre-Eclampsia: A Case Report and Literature Review

Cited by 6 publications

References 44 publications

Broad ligament term pregnancy in an unscarred uterus: misdiagnosis and the challenges

Broad ligament term pregnancy in an unscarred uterus: misdiagnosis and the challenges

Advanced abdominal pregnancy with dead foetus: a case report

An unusual case of abdominal pregnancy after bilateral tubal block

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