Open AccessSecond trimester Abdominal Pregnancy: A Case Report in a Resource Limited Setting
Author(s) -
Jimah B Bashiru,
AUTHOR_ID
Publication year - 2021
Publication title -
hsoa journal of clinical studies and medical case reports
Language(s) - English
Resource type - Journals
ISSN - 2378-8801
DOI - 10.24966/csmc-8801/1000125
Subject(s) - abdominal pregnancy , hemoperitoneum , medicine , ectopic pregnancy , pregnancy , gestational sac , laparotomy , abdominal pain , obstetrics , abdomen , surgery , gynecology , genetics , biology
Abdominal pregnancy is a rare form of ectopic pregnancy with very high feto-maternal morbidity and mortality. Diagnosis and management can pose difficulties in low-resource centres. High index of suspicion is vital in making a prompt diagnosis. Case Presentation: A 23year old, gravida 2, para 1, who presented with a two-day history of severe abdominal pain was referred from a satellite clinic. Abdominal ultrasound scan revealed a live 18week 5day intra-abdominal pregnancy. Emergency laparotomy showed an intact gestational sac at the superior aspect of the uterus with massive hemoperitoneum. The placenta was attached to the right ovary, omentum, and fimbriae of the right fallopian tube. Conclusion: Abdominal pregnancy is a rare occurrence and requires a high index of suspicion for prompt diagnosis. Massive hemoperitoneum can be life threatening and prompt surgical intervention is key in saving the life of the mother.