Difficultés du diagnostic et de prise en charge de la grossesse abdominale : à propos de deux cas diagnostiqués à terme au Centre Hospitalier Régional de Diourbel du Sénégal

Cissé, Mamadou Lamine; Gueye, Serigne; Gueye, M.; Diaw, Hannegret; Moreau, J. C.

doi:10.4303/cmch/c120302

Cited by 9 publications

(22 citation statements)

References 4 publications

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“…Our patient was poorly followed up by a nurse auxiliary who did not request for early obstetrical ultrasonography despite the very high risk of ectopic pregnancy. Despite the absence of this precious first trimester ultrasound, a skilled practitioner would have suspected AP before the painful foetal movements reported by the patient and the easiness to palpate foetal parts just beneath the skin [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, according to her past history her tubes were probably too much damaged to host and to transport an egg. Surgery is the cornerstone of management of AP and the attitude depends on the gestational age, the integrity and the localization of the gestational sac, the relationship between the placenta and the neighboring organs [ 9 ]. Before foetal viability and in absence of rupture, interruption of the pregnancy should be done by laparoscopy (if available) during the first trimester and laparotomy afterward.…”

Section: Discussionmentioning

confidence: 99%

“…In case of rupture with subsequent hemoperitoneum, emergency surgery to achieve hemostasis is the recommended attitude. If the foetus is viable laparotomy should be planned after lung maturation with corticosteroids if necessary and the baby should be admitted in intensive care unit [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Respiratory distress syndrome is also frequent and is explained by the severe oligoamnios and the inhibition of surfactant production by hypothermia due the abdominal location (Rabarijaona cited by Guèye and coll.) [ 9 ]. In our case there was a severe oligo-amnios and the foetus died in a context of respiratory distress.…”

Section: Discussionmentioning

confidence: 99%

“…There is a consensus to leave placenta in situ if its removal present any risk of bleeding. It undergoes degeneration during several weeks with a risk of infection that together with hemorrhage constitute the most dangerous maternal complications [ 9 ]. This degeneration that can be spontaneous or enhanced with anti-mitotic drugs is classically followed up by serial abdominal ultrasonography and serial dosage of plasmatic β-hCG [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

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Viable abdominal pregnancy: a case report in Yaoundé (Cameroon)

Fouelifack¹,

Fouogue²,

Fouedjio³

et al. 2014

Pan Afr Med J

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We herein report a case of abdominal pregnancy managed in Yaounde (Cameroon). The 33 year old G5P2022 woman was referred to our setting for management of an abdominal pregnancy of 34 weeks diagnosed during the first routine obstetrical ultrasonography done two days earlier. This ultrasonography revealed a live foetus within intestinal loops with a severe oligoamnios. After two days of lung maturation, laparotomy was carried out and the live male baby weighed 2 600 grammes. The placenta was left on its implantation sites: omentun, uterine fundus and intestinal loops. The mother did well post-operatively and the resorption of the placenta took 11 months. The newborn presented compression deformities and died three days later of respiratory distress. This case illustrates that intra-abdominal fetuses can reach viability. Though rare, abdominal pregnancy remains a threat to mothers. Practitioners should therefore know the traps in its management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Viable abdominal pregnancy: a case report in Yaoundé (Cameroon)

Fouelifack¹,

Fouogue²,

Fouedjio³

et al. 2014

Pan Afr Med J

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Abdominal Pregnancy Before 20 Weeks: Management Difficulties in Limited-Access Areas

DiopBalla

Mansour

Aliou

et al. 2019

Journal of Gynecologic Surgery

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Acute generalized peritonitis revealing an ovarian pregnancy: a case report

Boka Tounga,

Soumana Diaouga,

Moumouni

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction and importance: Abdominal pregnancy is still seen in developing countries due to inadequate medical facilities. The clinical indicators manifest in various forms and are nonspecific, making it challenging to diagnose and often leading to delayed detection. The occurrence of an infectious complication that leads to the development of generalized acute peritonitis is rare. The author present a case of 34-year-old patient who presented with febril generalized acute peritonitis caused by an abdominal pregnancy. The result of the abdominal ultrasound and the serum β-human chorionic gonadotropin (β-HCG) level led to initial diagnostic confusion. Case presentation: A 34-year-old primigravida with no medical or surgical history of comorbidity prior consulted in our department for generalized abdominal pain in the context of fever and amenorrhoea for more than 4 months. Physical examination revealed a painful and contracted abdomen. The biological assessment showed white blood cells at 27,100/ul, the hemoglobin level at 11.8 g/dL. The serum β-human chorionic gonadotropin (β-HCG) level was less than 5 UI/L. The abdominal ultrasound noted a peritonitis secondary to an abscess of the appendix. Exploratory laparotmy revealed 200cc of pus in the peritoneum and a mass in the right iliac fossa at the expense of the ovary with agglutination of the intestines loops. After adesyolysis, a single-piece excision of the mass was performed, the break-in showing a macerated fetus, a right adnexectomy and an appendectomy. The maternal autcome was good. Clinical discussion: Abdominal pregnancy remains an inadequately diagnosed condition in developing countries. This case reminds clinicians that abdominal pregnancy remains a differential diagnosis of all abdominal pain in a woman of childbearing age including when the serum β-human chorionic gonadotropin (β-HCG) level was less than 5 ui/l. Conclusion: It is imperative to increase awareness among pregnant women about high-quality prenatal care, including early obstetric ultrasound, from conception. Meanwhile, healthcare professionals should receive continuous training and the technical platform modernised.

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Difficultés du diagnostic et de prise en charge de la grossesse abdominale : à propos de deux cas diagnostiqués à terme au Centre Hospitalier Régional de Diourbel du Sénégal

Cited by 9 publications

References 4 publications

Viable abdominal pregnancy: a case report in Yaoundé (Cameroon)

Viable abdominal pregnancy: a case report in Yaoundé (Cameroon)

Abdominal Pregnancy Before 20 Weeks: Management Difficulties in Limited-Access Areas

Acute generalized peritonitis revealing an ovarian pregnancy: a case report

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