A rare case presentation of full term primary abdominal pregnancy with live fetus
Journal Title: Gujarat Medical Journal - Year 2017, Vol 72, Issue 2
Abstract
Introduction : Abdominal pregnancy is a rare form of ectopic pregnancy with a high rate of maternal and fetal complications. Most of the reported cases are diagnosed in early trimesters, usually after presenting with complications. Sometimes advanced abdominal pregnancy poses a huge diagnostic and management challenge, particularly in low-income countries. A term abdominal pregnancy diagnosed and resulting in a surviving neonate is quite rare.Timely surgical intervention is imperative to avert maternal and fetal complications. Case presentation : A 35 year old female, with H/O 9 and half MOA as G5P4L4 for post-datism with full term, cephalic longitudinal lie. Patient was induced but no progress was seen so patient was taken for LSCS.Directly amniotic sac with fetus was seen in peritoneal cavity. Baby was delivered-2.7kg, male child, Cord was clamped and cut, Placenta was adherent over lower part of large intestine. Part of placenta was adherent to intestine so it was left in situ. Uterus, tubes and ovaries were normal. Post operatively patient was stable and given supportive treatment. patient was discharged with stable vitals and alive neonate. Conclusions : An abdominal pregnancy diagnosed and delivery of a surviving neonate is rare. A high index of suspicion and thorough clinical and ultrasound evaluation are crucial to making an early diagnosis. This is particularly important in areas where advanced imaging technologies are not readily available. Timely surgical intervention is imperative to avert maternal and fetal complications.
Authors and Affiliations
Mehul Sangani, Bhavesh Airao, Bipin R. Shah
Keywords
Related Articles
- EP ID EP293983
- DOI -
- Views 178
- Downloads 0
A Study of Outcome Analysis of Treatment in 100 Cases of New Sputum Positive Pulmonary Tuberculosis Under RNTCP
Introduction: The United Nation's Sustainable Development Goals (SDGs) along with the World Health Organization's end TB strategy has made global targets for “To End the Global Epidemic of Tuberculosis (TB).” RNTCP launc...
An Observational study of the Correlation of Higher Level of Serum Vitamin B 12 and Underlying Diseases
Vitamin B has recently gained a lot of importance in 12 laboratory medicine owing to the magnitude of effects seen on the homeostasis and normal functioning of the various organ systems. However the focus remains on the...
A Clinico-Pathological Study of Anemias in Geriatric Age Group
INTRODUCTION : Anemia in the elderly is a major health problem in India and many parts of the world, since it signifies an underlying disease and is associated with poor clinical outcome like increased morbidity and poor...
Pre-Operative concerns of a patient in a Rural setup :RURAL SETUP: An Indian Perspective
Objective : To identify and appraise the concerns different patients have prior to undergoing surgery in a rural set up. Method : In this prospective survey, 207 patients completed a questionnaire regarding their concern...
Prevalence of Primary Open Angle Glaucoma in diabetic patients visiting a tertiary eye care hospital.
Aim : Background: The relationship between type 2 diabetes mellitus (DM) and primary open angle glaucoma (POAG) is still unclear. POAG is often an asymptomatic disease till late. Understanding the risk factors associate...