DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20160891
Published: 2016-12-27

A term live advanced abdominal pregnancy: a rare case report

Seema Sharma, Hanslata Gehlot, Dinesh Dutt Sharma, Suman Choudhary

Abstract


Advanced abdominal pregnancy is a rarely encountered entity. Extra uterine ectopic pregnancy is frequently missed in antenatal period. Here, we report a case of live secondary abdominal pregnancy in a primigravida with period of 37 weeks of gestation. The diagnosis was missed in antenatal period despite regular antenatal check-ups and ultrasound. Patient was managed by exploratory laparotomy, the foetus was extracted out and the placenta was left in situ. Rest of the post-operative period was uneventful. The new born expired in neonatal ward after 24 hours due to hypoplastic lungs. Patient was followed up by serial serum β HCG values and serial ultrasonography of maternal abdomen. β HCG was negative in three months. Patient is still in follow up period.

Keywords


Term abdominal pregnancy, Live foetus, Exploratory laparotomy, Serum β HCG

Full Text:

PDF

References


Yildizhan R, Kolusari A, Adali F, Adali E, Kurdoglu M. Primary abdominal ectopic pregnancy: a case report. Cases Journal. 2009;2:8485.

Binder DS. Thirteen-week abdominal pregnancy after hysterectomy. Journal of Emergency Medicine. 2003;25(2):159-61.

Fader AN, Guido RS, Wiesenfeld HC. A 14-week abdominal pregnancy after total abdominal hysterectomy. Obstetrics and Gynecology. 2007;109(2):519-21.

Varma R, Mascarenhas L, James D. Successful outcome of advanced abdominal pregnancy with exclusive omental insertion. Ultrasound in Obstetrics and Gynecology. 2003;21(2):192-4.

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

Riethmuller D, Courtois L, Maillet R, Schaal JP. Ectopic pregnancy management: cervical and abdominal pregnancies. J Gynecol Obstet Biol Reprod (Paris). 2003;32(7 Suppl):S101-8.

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.

Martin JN Jr, Sessums JK, Martin RW, Pryor JA, Morrison JC. Abdominal pregnancy: current concepts of management. Obstet Gynecol. 1988;71(4):549-57.

Allibone GW, Fagan CJ, Porter SC. The sonographic features of intra-abdominal pregnancy. J Clin Ultrasound. 1981;9(7):383-7.

Angtuaco TL, Shah HR, Neal MR, Quirk JG. Ultrasound evaluation of abdominal pregnancy. Crit Rev Diagn Imaging. 1994;35(1):1-59.

Irick MB, Kitsos CN, O'Leary JA. Therapeutic aspects in the management of a lithopedion. Am Surg. 1970; 36:232-4.