Abdominal Pregnancy with Live Fetus: A Case Report at Dassa-Glazoue Regional Hospital, Benin 2019

Abstract

We present a case of viable abdominal pregnancy in a 34-year-old gravida 8 para 3 (2 alive) jobless woman living in Glazoué. She had no medicosurgical history and had not been using any contraceptive method. She was referred to Dassa-Glazoué regional Hospital after an obstetrical ultrasound performed four weeks prior to her admission at Abbraccio Sokponta Hospital revealed viable abdominal pregnancy at an estimated gestational age of 31 weeks and 1 day. She had ultrasound scan upon admission to Dassa-Glazoué regional Hospital confirming viable abdominal pregnancy at an estimated gestational age of 34 weeks and 3 days. Exploratory laparotomy was done with delivery of a live female baby via the podalic pole. The neonate was immersed in a clear amniotic fluid, weighting 2,600 g, head circumference 33 cm, chest circumference 31 cm, height 48 cm and Apgar score of 8-9-10. The placenta was extensively attached to the omentum, the bowel and the left uterine appendage. It was fully expelled after ligature of omental and placental feeding vessels, following adhesiolysis. Post-operative evolution was satisfactory, and the patient discharged on the 6 th post-operation day with her newborn baby in apparent good health.