Grossesse abdominale momifiée

Bonahy, Abdi Ahmed; Sabbah, Houssam; Abdeljelil, Ahmed Baba; Mahmoudi, M

doi:10.11604/pamj.2016.25.230.10857

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…It is exceptional in developed countries between 1/7,000 to 1/15,000 deliveries. On the other hand, more frequent in underdeveloped countries and evaluated at 1/1134 in South Africa, 1/2583 in Senegal and 0.152% in Nigeria [2][3][4][5]. In Niger this rarity is not documented.…”

Section: Discussionmentioning

confidence: 99%

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Prolonged abdominal pregnancy incidentally discovered during cesarean section. A case report

Diaouga,

Yacouba,

Hissen

et al. 2023

Preprint

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Background: Abdominal pregnancy is a rare pathology still encountered in developing countries due to insufficient medicalization. The clinical signs are polymorphic and nonspecific, which makes the diagnosis difficult and late. However, obstetric ultrasound plays a key role in early diagnosis. The objective was to share an experience of our service on this pathology and to show the need for early ultrasound diagnosis through optimal monitoring of pregnancy in our regions. Case presentation: We report a case of prolonged abdominal pregnancy in a 35-year-old black african women who consulted in our department for absence of active movements of the fetus with ten-month amenorrhea. The clinical examination and the ultrasound made it possible to evoke the diagnosis of a non-grogressing pregnancy of 39 weeks. The fetus was in a transverse position motivating the indication of a cesarean section. Intraoperatively, the fetus was discovered in the abdominal cavity with a placenta inserted into the left ovary. The uterus and right adnexa were normal. We performed an extraction of the macerated fetus weighing 2600g. The extraction of the placenta and membranes was without difficulty. The maternal prognosis was good. Conclusions: Abdominal pregnancy is still undiagnosed early in developing countries. Emphasis must be placed on raising awareness among pregnant women about quality prenatal care from conception, early obstetric ultrasound, continuous training of health professionals and modernization of the technical platform. The diagnosis of the location of the gestational sac must be made in any pregnant woman seen for the first time in the ultrasound room.

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Section: Discussionmentioning

confidence: 99%

“…The incidence is between 1/7000 to 1/15000 deliveries in developed countries. It is the prerogative of underdeveloped countries where medicalization is insu cient with an incidence between 1/1134 to 1/3750 deliveries [2][3][4][5]. The pathophysiology is poorly understood.…”

Section: Introductionmentioning

confidence: 99%

Prolonged abdominal pregnancy incidentally discovered during cesarean section. A case report

Diaouga,

Yacouba,

Hissen

et al. 2023

Preprint

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Lithopedion as a factor in post‐traumatic intestinal perforation

Gaye

Thiam

Deguenonvo

et al. 2022

Journal of Forensic Sciences

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Lithopedion is defined as the evolution and calcification of an unrecognized intra-abdominal (usually ectopic) pregnancy, following a fetal death after 3 months of gestation.The term lithopedion comes from the Greek words "lithos" meaning "stone" and "paidion" meaning child [1].The fetus is retained in the maternal abdominal cavity or genital tract. It may then undergo a process of calcification, its tissues being more or less infiltrated with calcareous salts. The placenta, free membranes, and umbilical cord may also be calcified. It may be manifested by clinical signs such as abdominal pain [3]. It may also be discovered during surgery for a completely different indication or during imaging or autopsy examinations [4].

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Prolonged abdominal pregnancy incidentally discovered during cesarean section: a case report

Diaouga,

Yacouba,

Hissen

et al. 2024

BMC Pregnancy Childbirth

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Background Abdominal pregnancy is a rare medical condition that is still missed 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. However, obstetric ultrasound serves as an essential tool in early detection. Our objective was to share our experience dealing with this condition and emphasise the importance of early ultrasound diagnosis through efficient pregnancy monitoring in our regions. Case presentation 35-year-old Black African woman who had ten months of amenorrhea sought consultation due to an absence of active foetal movements. Her pregnancy was of 39 weeks with fetal demise which was confirmed following clinical examination and ultrasound. She underwent cesarean section in view of transverse position of fetus. During cesarean section, the fetus was found within the abdominal cavity with the placenta attached over the left iliac fossa including surface of left ovary. The uterus and right adnexa were within normal limits. A 2600 g macerated fetus with placenta and membranes were extracted without any complications. The maternal outcome was successful. Conclusions Abdominal pregnancy remained an inadequately diagnosed condition in developing countries. It is imperative to increase awareness among pregnant women regarding high-quality prenatal care, including early obstetric ultrasound, from conception. Meanwhile, healthcare professionals should receive continuous training and the technical platform modernised. To ensure accurate diagnosis, the location of the gestational sac must be identified for every pregnant woman during their initial ultrasound appointment.

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Grossesse abdominale momifiée

Cited by 4 publications

References 5 publications

Prolonged abdominal pregnancy incidentally discovered during cesarean section. A case report

Prolonged abdominal pregnancy incidentally discovered during cesarean section. A case report

Lithopedion as a factor in post‐traumatic intestinal perforation

Prolonged abdominal pregnancy incidentally discovered during cesarean section: a case report

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