A case report on advanced undiagnosed secondary abdominal pregnancy

Authors

  • Ashnoor Bansal Department of Obstetrics and Gynaecology, Assam Medical College and Hospital, Dibrugarh, Assam, India
  • Nabajyoti Saikia Department of Obstetrics and Gynaecology, Assam Medical College and Hospital, Dibrugarh, Assam, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20230838

Keywords:

Secondary abdominal pregnancy, Rupture uterus, Ectopic pregnancy

Abstract

Abdominal pregnancy is a rare form of ectopic pregnancy that involves implantation within the peritoneal cavity, exclusive of fallopian tubes, ovaries, broad ligament and cervix. Secondary abdominal pregnancy results from implantation of blastocyst into peritoneal cavity that was originally located elsewhere. It is associated with high maternal and fetal morbidity and mortality. Here, we have discussed about a 32 year old second gravida para one post caesarean section (last CS 2 years back) at 24+ weeks of gestation with rupture uterus with advanced secondary abdominal pregnancy with intrauterine death. Exploratory laparotomy with repair of rupture uterus with bilateral tubectomy was done.

References

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Varma R, Mascarenhas L, James D. Successful outcome of advanced abdominal pregnancy with exclusive omental insertion. Ultrasound Obstet Gynecol Off J Int Soc Ultrasound Obstet Gynecol. 2003;21(2):192-4.

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

Atrash HK, Friede A, Hogue CJ. Abdominal pregnancy in the United States: frequency and maternal mortality. Obstet Gynecol. 1987;69:333-7.

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Published

2023-03-28

Issue

Section

Case Reports