Advanced Abdominal Ectopic Pregnancy: A Case Report

Abstract

A 35-year-old unbooked gravida 6 para 5+0 woman with 4 living children, who was unsure of her last menstrual period but she adjudged her index pregnancy to be term. She presented to the emergency unit with six months history of progressive weight loss, difficulty in breathing and abdominal pain that suddenly got worse about two days prior to presentation after an attempted external cephalic version by a traditional birth attendant. Ultrasound diagnosed abdominal pregnancy. An emergency laparotomy revealed collapsed fetal membranes with a rent of about 10 centimeters in diameter on the right and straw-colored amniotic fluid of about 2 litres in peritoneal cavity. A live male fetus was delivered with birth weight of 2.9 kilograms. The umbilical cord was cut and tied short close to the placenta which was left in situ and methotrexate was given. Post operative condition was satisfactory and patient had a brisk recovery. She was adequately counseled and discharged home on the 12 th day after surgery and followed up subsequently.

Rare Ectopic Pregnancies – A Literature Review for the Period 2007 – 2019 on Locations Outside the Uterus and Fallopian Tubes

“…In the three cases who were delivered of a live infant, in addition to implanting on the bowel and its mesenteries, the placenta was also connected to the uterine serosa 11 , 12 , 13 .…”

“…In den 3 Fällen mit Lebendgeburt hatte die Plazenta zusätzlich zur Implantation an Darm und seinen Mesenterien auch Anschluss an serosale Flächen des Uterus 11 , 12 , 13 .…”

Term Abdominal Pregnancy with Live Fetus: about a Case and Review of the Literature

“…The secondary form is the most common, it can come from a broken tubal pregnancy or a tuboabdominal abortion. It may be the result of intrauterine pregnancy secondary to the abdominal site following hysterotomy scar rupture, uterine perforation breach or rudimentary horn fracture [3,11] . This classification remains rather theoretical given the difficulty of specifying peroperatively the integrity of the tube or uterus, especially if the pregnancy has evolved until the near term.…”

“…It is based on the three classic criteria of ectopia: clinical, biological and ultrasound. Laparoscopy confirms, poses or corrects the diagnosis [8,11].…”