Post Term Extrauterine Abdominal Pregnancy, a case report
Journal Title: International Journal of Allied Medical Sciences and Clinical Research - Year 2017, Vol 5, Issue 2
Abstract
Introduction When implantation of the fertilized ovum occurs anywhere outside of the uterine cavity it is called ectopic pregnancy. Abdominal pregnancy is a rare type of ectopic pregnancy where the developing embryo implants and grows within the peritoneal cavity. Abdominal pregnancy is classified as being primary and secondary. Most abdominal (ectopic) pregnancies are secondary from aborted or ruptured tubal pregnancy. Extrauterine abdominal pregnancy is missed during antenatal period even with the use of ultrasound. Case history A 39 years old woman gravida VI, para V with history of severe supra pubic pain at 10 weeks of amenorrhea which was treated with Antipain and bed rest presented to the maternity hospital. During ante natal follow up abnormal fetal malpresentation and easily fetal parts were palpated. Diagnosis was missed during ante natal period. The eminent signs were client’s history and flat abdomen x-ray which revealed the fetal demise. At first client was managed conservatively including induction of labor with oxytocin which failed. Later surgical intervention (Laparotomy) was performed and a dead fetus was extracted from the abdominal cavity. Umbilical cord was cut at its insertion to the placenta leaving the placenta in situ for its natural autolysis. On inspection intra-operatively the uterus, the left fallopian tube and both ovaries were intact and normal while the right fallopian tube was not identifiable. Post operative period and later follow up of the mother was awesome. Conclusion Diagnosis of abdominal pregnancy is missed during antenatal care despite the use of modern diagnostic tools like Ultrasonography, Magnetic resonance imaging etc as in many cases the exact location of the fetus and its size are not ascertained. High index of suspicion is needed to make first diagnosis of abdominal pregnancy. This case report is presented to draw attention to obstetrics and/or midwifery care providers the challenges related to diagnosis and its management to prevent life threatening complications in poorly resourced centers.
Authors and Affiliations
Abrehet Gebrekidan
Keywords
Related Articles
- EP ID EP418399
- DOI -
- Views 87
- Downloads 0
Effect of verbal encouragement and visual biofeedback on peak expiratory flow rate in healthy young subjects
Background & Aim of study Peak expiratory flow rate is simple and common method of measuring airway obstruction. The aim of this study is to find out the effects of verbal encouragement and visual biofeedback during the...
Nutrease powder- Nature’s blend of protien, fiber & antioxidant support
“Natural antioxidant process in Nutrease powder compensate for one another, covering up momentary deficiencies by their overlap." The science of antioxidants can be quite complex, and this often leads to confusion among...
To study the efficacy of an indigenous compound in the management of sthaulya with special reference to obesity syndrome
The Disease Sthaulya has been mentioned since the vedic period by numerous authors. It is also one of the Kapha Nanatmaja Vyadhis and Meda Dhatu dusti along with Mandagni are stated to be the root cause. The causes, sign...
A case report on recurrent infantal bronchopneumonia
Introduction Bronchopneumonia is an acute bacterial infection of terminal bronchioles characterised by purulent exudation which extends into surrounding alveoli through endobronchial route resulting in patchy consolidati...
Added effect of strain counter-strain technique on pain & Cervical ROM in students with mechanical neck pain with upper trapezius trigger points. A RCT
Objectives To assess the added effect of Strain Counter-strain (SCS) technique along with conventional treatment on pain & cervical ROM in students with mechanical neck pain with upper trapezius trigger points. Methods I...