Open AccessChallenges in Diagnosis and Management of Second Trimester Omental Pregnancy in Limited Resource Settings: Case Report
Author(s) -
Beata Nyangoma Mushema,
Beno Steven Nkwama,
George Alcard RweyemamuGeorge Alcard Rweyemamu,
Isaac Hamis Makanda,
Monica Chiduo
Publication year - 2022
Publication title -
east african health research journal
Language(s) - English
Resource type - Journals
eISSN - 2520-5285
pISSN - 2520-5277
DOI - 10.24248/eahrj.v6i1.673
Subject(s) - medicine , abdominal pregnancy , ectopic pregnancy , pregnancy , obstetrics , laparotomy , abortion , uterine rupture , gestation , referral , complication , surgery , uterus , genetics , family medicine , biology
Abdominal pregnancies are a rare occurrence and are associated with high maternal and perinatal mortality rates compared to intra-uterine and other ectopic pregnancies. Localization of sites of abdominal pregnancies and determining the gestational age at the time of diagnosis play a fundamental role in guiding the treatment approach and minimizing potential complications. However, the vague presentation coupled with low accuracy of ultrasound detection often leads to misdiagnosis of abdominal pregnancy, and hence delaying initiation of appropriate management. We present a case of a second trimester abdominal pregnancy detected following failure of induction for an initial diagnosis of missed abortion, and the ensuing outcome, rarely reported in limited-resource settings.