Secondary abdominal pregnancy: a case report

Nagamuthu, Ezhil Arasi; Fatima, Syeda Sumaiya

doi:10.5455/2320-6012.ijrms20140581

Cited by 1 publication

(2 citation statements)

References 3 publications

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“…1,2 Abdominal pregnancy is a rare form of ectopic pregnancy in which the zygote implanted within the abdominal cavity exception at ovaries, fallopian tubes and intra ligament spaces. 3 The placenta implants on the surrounding structures commonly on intestines, omentum, mesentery, liver, spleen, uterus and the foetus can continue to grow with that blood supply.…”

Section: Introductionmentioning

confidence: 99%

“…4 However, the chance of growing after 20 weeks of gestation is infrequent with the incidence of advanced abdominal pregnancy is 1 in 22,000 pregnancies. 2,3 The complications of abdominal pregnancy are serious leaving high morbidity and mortality in both mother and foetus. The maternal mortality in case of abdominal pregnancy is 5.2%, whereas the perinatal mortality is ranging between 40% to 95%.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%