DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20213497

Abdominal pregnancy-a case report

Indrani Roy, Neha Choubey

Abstract


Abdominal pregnancy is a rare obstetric complication with high maternal mortality and even higher perinatal mortality, and it can be primary or secondary with the latter being the most common type. This is a case of abdominal pregnancy in gravida 2, para 0+1 women admitted to the hospital with h/o amenorrhoea for two and a half months, with the chief complaints of pain abdomen for one week which was severe that day for which she attended emergency. Ultrasonography revealed a single live intra uterine pregnancy with a solid retro gestational sac collection, with a CRL of 11W3D. She was initially managed conservatively. Surgical intervention became necessary on day 9th when with the rising fundal height and drop in Hb levels, under general anaesthesia.


Keywords


Abdominal pregnancy, Laparotomy, Placenta previa, Serum beta Hcg

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References


Worley KC, Hnat MD, Cunningham FG. Advanced extra uterine pregnancy: diagnostic and therapeutic challenges. Am J Obstet Gynecol. 2008;198:297:e1-297-7.

Studdiford WE. Primary peritoneal pregnancy. Am J Obstet Gynecol. 1942;44:487-91.

Atrash HK, Friede A, Hogue CJ. Abdominal pregnancy in the United States. Frequency and maternal mortality. Obstet Gynecol. 1987;69:333.

Lastra A, Ruiz Bedoya JA, Jiménez Balderas EA. Abdominal pregnancy with fetal survival. A report of 2 cases. Ginecol Obstet Mex. 1993;61:348-50.

Cunningham GF, Levine KJ, Bloom SI. In Williams Obstetrics. 22nd edition. London: Prentice Hall International (UK). 2005;265-6.

Rahaman J, Berkowitz R, Mitty H. Minimally invasive management of an advanced abdominal pregnancy. Obstet Gynecol. 2004;103:1064-8.

Roberts RV, Dickinson JE, Leung Y, Charles AK. Advanced abdominal pregnancy: still an occurrence in modern medicine. Aust NZ J Obstet Gynaecol. 2005;45:518-21.

Hallatt JG, Grove JA. Abdominal pregnancy: a study of twenty-one consecutive cases. Am J Obstet Gynecol. 1985;152:444-8.