Full-term extrauterine abdominal pregnancy: a case report

Abstract

IntroductionExtrauterine abdominal pregnancy is extremely rare and is frequently missed during antenatal care. This is a report of a full-term extrauterine abdominal pregnancy in a primigravida who likely had a ruptured ectopic pregnancy with secondary implantation and subsequently delivered a healthy baby.Case presentationA 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.ConclusionsAn 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.

A 34-week ovarian pregnancy: case report and review of the literature

“…Since the diagnosis is frequently missed preoperatively and adverse foetal and maternal outcomes do not necessarily occur in association with the continuation of pregnancy, one could argue that the termination of an advanced extrauterine pregnancy upon antenatal diagnosis might not be warranted. However, these cases should be followed-up very carefully in order to prevent adverse outcomes (24). In fact, advanced ovarian pregnancy is diagnosed upon laparotomy in the majority of the cases.…”

Advanced Abdominal Pregnancy with a Full-Term Live Fetus: Case Report

“…AAP can be classified as being primary or secondary 10 . Primary AAP is the less common type, occurs when the fertilized ovum implants directly into the peritoneal cavity.…”

Broad Ligament Pregnancy Through A Cesarean Scar : An Unusual One

“…The rate of maternal mortality has been reported to be as high as 20% and the perinatal mortality rate ranges between 40% to 95% 12,13 . So, surgical intervention is recommended as soon as an abdominal pregnancy is diagnosed.…”