Grossesse abdominale à Libreville de 1999 à 2009

Ntamack, J.A. Bang; Ngou, Jean; Olé, Boniface Sima; Zué, A. Sima; Tsonga, S. Mayi; Meye, Jean‐François

doi:10.1016/j.jgyn.2011.06.014

Cited by 9 publications

(9 citation statements)

References 12 publications

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“…It is secondary when it occurs after a ruptured tubal pregnancy or a tubal abortion or even a uterine rupture or perforation [3, 5]. Secondary implantation is the most common [1, 6, 7]. In our case the abdominal location is secondary because the embryo was first inserted into the tubal isthmus, as shown by the implantation of the placenta into this part of the tube.…”

Section: Discussionmentioning

confidence: 89%

“…For best results, it is better to do this transvaginally, paying particular attention to the ovaries and the uterine wall [3]. In the second and third trimesters, the risk of misrecognizing abdominal pregnancy is important, and has reached more than 50% in some series [7, 9]. For Allibone et al [10] absence of uterine wall between maternal bladder and fetus, ectopic location of placenta, abnormal presentation of fetus, proximity of fetal parts to maternal abdominal wall and absence of amniotic fluid between placenta and the fetus, are the ultrasound features of abdominal pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of abdominal pregnancy is surgical, at best by laparotomy, for a better control of the hemorrhagic risk related to the extraction of the placenta [1, 5, 7]. This extraction is justified only if it is easily achievable, with a lower hemorrhagic risk [2, 5].…”

Section: Discussionmentioning

confidence: 99%

“…When the placenta is left in place, it is necessary to keep watch over the appearance of the following maternal complications in postoperative period: bowel obstruction, infection, hemorrhage, anemia, fistula, [1, 9, 13] etc. These complications can worsen the maternal prognosis, with a lethality up to 18% [1, 5, 7]. The fetal prognosis varies with the gestational age.…”

Section: Discussionmentioning

confidence: 99%

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A full term abdominal pregnancy with an isthmic tubal implantation of the placenta

Sib¹,

Ouédraogo²,

Sanogo³

et al. 2018

BMC Pregnancy Childbirth

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BackgroundAbdominal pregnancy is defined as the partial or total insertion of the embryo into the abdominal cavity. It is rare, and can evolve towards the full term if it is not recognized in the early pregnancy. It carries a high risk of maternal-fetal morbidity and mortality.Case presentationWe report a case of a 22 year-old gravida IV, para II with an asymptomatic and undiagnosed abdominal pregnancy presumed full term, in a context of health centers under-equipment. She had attended 5 routine antenatal care, but had not performed any ultrasound scan. She had been transferred from a medical center to the Hospital of Ouahigouya (Burkina Faso) for bowel sub-obstruction and intrauterine fetal death, with failure of labor induction. On admission, the hypothesis of uterine rupture or abdominal pregnancy with antepartum fetal demise was considered. A laparotomy was then performed, where an abdominal pregnancy was discovered, and a dead term baby weighing 3300 g delivered. The placenta which was implanted into the ruptured isthmus of the left fallopian tube was removed by salpingectomy. Postoperative follow-up was uneventful.ConclusionThis case report exposes the necessity for the practitioner to think about the possibility of abdominal pregnancy in his clinical and sonographic practice, irrespective of the gestational age, mainly in contexts where there is under-equipment of the health centers.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A full term abdominal pregnancy with an isthmic tubal implantation of the placenta

Sib¹,

Ouédraogo²,

Sanogo³

et al. 2018

BMC Pregnancy Childbirth

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show abstract

“…A review of 163 cases of abdominal pregnancies from 13 countries emphasized how difficult it is to make the diagnosis [4]. Another series of 19 cases from Libreville, Gabon also highlighted the challenges of timely accurate diagnosis beyond the second trimester, especially in resource limited settings [5].…”

Section: Introductionmentioning

confidence: 99%

Late abdominal pregnancy in a post-conflict context: case of a mistaken acute abdomen - a case report

Paluku

Kalole²,

Furaha

et al. 2020

BMC Pregnancy Childbirth

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Background: Abdominal pregnancies have been reported in both high-income countries as well as low-and middle-income countries. They are frequently missed in routine antenatal care in resource-limited settings and delayed diagnosis is usually associated with poor fetal and maternal outcomes including death. This case report is among the first from eastern Democratic Republic of Congo (DRC), a post-conflict region. Case presentation: In this case study, we present a 25 year-old primigravida patient referred to HEAL Africa hospital for management of an acute abdomen at 33-weeks gestation. Her chief complaint was severe abdominal pain associated with each fetal movement for a period of 1 week prior to admission. A diagnosis of peritonitis was made. Emergency laparotomy revealed a normal live 2 kg baby with placental implantation on the greater omentum and small intestine mesentery. The placenta was not removed. Both maternal and fetal outcomes were good. Conclusion: Abdominal pregnancy with a normal live fetus at such an advanced gestational age is rare. This case reminds clinicians that abdominal pregnancy remains a differential diagnosis for painful fetal movements.

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A Cesarean scar pregnancy is not an ectopic pregnancy

Timor‐Tritsch¹

2022

Ultrasound in Obstet & Gyne

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Grossesse abdominale à Libreville de 1999 à 2009

Cited by 9 publications

References 12 publications

A full term abdominal pregnancy with an isthmic tubal implantation of the placenta

A full term abdominal pregnancy with an isthmic tubal implantation of the placenta

Late abdominal pregnancy in a post-conflict context: case of a mistaken acute abdomen - a case report

A Cesarean scar pregnancy is not an ectopic pregnancy

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