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An Unusual Case of Primary Abdominal Pregnancy
Author(s) -
Beischer N. A.
Publication year - 1967
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1967.tb02481.x
Subject(s) - abdominal pregnancy , medicine , pregnancy , pouch , abdomen , surgery , rectum , differential diagnosis , vagina , gestation , peritonitis , uterus , obstetrics , fetus , genetics , pathology , biology
Advanced abdominal pregnancy, although infrequently encountered, is a well documented entity because it is one of the most hazardous complications of child‐bearing (Mackay, 1959). The diagnosis may not be made until the time of operation when the surgeon faces the major problem of the management of the placenta (Hibbard, 1957). It is evident that abdominal pregnancies will not be recognized unless they are considered in the differential diagnosis of obstetrical conditions having abnormal signs and symptoms (Cross et al , 1951). SUMMARY A case of primary abdominal pregnancy is reported. The placenta was attached to the posterior peritoneum of the pouch of Douglas which was expanded inferiorly and contained most of the gestation sac. Retroplacental bleeding had resulted in a large haematoma which occluded the vagina in its middle third and displaced the rectum to the right lateral pelvic wall.