DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20163185
Published: 2016-12-15

Advanced abdominal pregnancy with a healthy newborn: a rare case report

Kiran Trivedi, Lata Singh

Abstract


Abdominal pregnancy is a rare form of extra-uterine gestation where implantation occurs within peritoneal cavity, but outside fallopian tubes and ovaries. Abdominal pregnancies account for 1% of ectopic pregnancies. Advanced abdominal pregnancy with healthy fetus, surviving upto term is extremely rare. We report an advanced abdominal pregnancy which was referred from a private hospital as a case of central placenta praevia, severe oligohydramnios with 8 months pregnancy and loss of foetal moment and breech presentation. Intra operatively it was diagnosed as a case of abdominal pregnancy. We delivered a LBW (2 kg) baby from abdomen. Post-operative period was uneventful and both mother and baby were doing well at the time of discharge.

Keywords


Abdominal pregnancy, Advanced abdominal pregnancy, Ectopic pregnancy, Healthy newborn, Oligohydramnios

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References


Stanley JH, Horger EO, Fagan CJ, Andriole JG, Fleischer AC. Sonographic findings in abdominal pregnancy. AJR Am J Roentgenol. 1986;147(5):1043-6.

Sapuri M, Klufio C. A case of advanced viable extrauterine pregnancy. PNG Med J. 1997;40:44-7.

Atrash HK, Friede A, Hogue CJ. Abdominal pregnancy in the United States: Frequency and maternal mortality. Obstet Gynecol. 1987;69(3 Pt 1):333-7.

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

Teng H, Kumar G, Ramli N. A viable secondary intra-abdominal pregnancy resulting from rupture of uterine scar: role of MRI. Br J Radiol. 2007;80:134-6.

Kun K, Wong P, Ho M, Tai C. Abdominal pregnancy presenting as a missed abortion at 16 weeks gestation. Hong Kong Med J. 2000;6(4):425-7.

Crawford JD, Ward JV. Advanced abdominal pregnancy. Obstetrics and Gynecology. 1957;10(5):549-54.

Beacham WD, Hernquist WC, Beacham DW, Webster HD. Abdominal pregnancy at Charity Hospital in New Orleans. American J Obstetr Gynecol. 1962;84(10):1257-66.

Opare-Addo HS, Deganus S. Advanced abdominal pregnancy: a study of 13 consecutive cases seen in 1993 and 1994 at Komfo Anokye Teaching Hospital, Kumasi, Ghana. African J Reprod Health. 2000;4(1):28-39.

Worley KC, Hnat MD, Cunningham FG. Advanced extrauterine pregnancy: diagnostic and therapeutic challenges. American Journal of Obstetrics and Gynecology. 2008;198:297.e1-297.e7.

Ludwig M, Kaisi M, Bauer O, Diedrich K. The forgotten child-a case of heterotopic, intra-abdominal and intrauterine pregnancy carried to term. Hum Reprod. 1999;14:1372-4.

Zeck W, Kelters I, Winter R, Lang U, Petru E. Lessons learned from four advanced abdominal pregnancies at an East African Health Center. J. Perinat Med. 2007;35(4):278-81.

Ayinde OA, Aimakhu CO, Adeyanju OA, Omigbodun AO. Abdominal pregnancy at the University College Hospital, Ibadan: a ten-year review. Afr J Reprod Health. 2005;9(1):123-7.

Worley KC, Hnat MD, Cunningham FG. Advanced extrauterine pregnancy diagnostic and therapeutic challenges. Am J Obstetrics Gynecol. 2008;198(3):297.e1-7.

Stemens CA. Malformations and deformations in Abdominal pregnancy: Am J Med. 1993;47(8):1189-95.

Cunningham GF, Levine, KJ, Bloom, SI. Williams Obstetrics. 22nd edition, Prentice Hall International (UK), 2005:265-266.

Bertrand G, Le Ray C, Simard-Emond L, Dubois J, Leduc L. Imaging in the management of abdominal pregnancy: A case report and review of literature. J Obstet Gynecol Can: JOGC. 2009;31(1):57-62.




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