Term Live Secondary Abdominal Pregnancy: A Case Report

Pannu, Deepika; Bharti, Rekha; Anand, HP; Sharma, Mukut

doi:10.21315/mjms2016.23.5.13

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…[ 2 ] In secondary abdominal pregnancy (SAP), the gestational tissue is expelled spontaneously through the defect in the primary implantation site into the peritoneal cavity, such as tubal abortion or uterine rupture. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

Ruptured secondary abdominal pregnancy after primary laparoscopic treatment for tubal pregnancy

Zhang

Chen²,

Gu³

2017

Medicine

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Introduction:Most secondary abdominal pregnancies happen after spontaneous abortion of tubal pregnancy or ruptured intrauterine pregnancy. However, we presented a case of ruptured secondary abdominal pregnancy after primary laparoscopic treatment of tubal pregnancy.Case report:The ectopic pregnant lesion in the affected tube was thoroughly removed in the primary laparoscopy, and nothing abnormal was detected in abdomen or pelvis. Beta human chorionic gonadotropin levels dropped significantly after surgery, but the patient came back again for severe abdominal pain with beta human chorionic gonadotropin increasing, and free peritoneal fluid in the pouch of Douglas was detected at ultrasonography. The secondary laparoscopy was done according to the intraperitoneal hemorrhage and unstable vital signs. The secondary pregnancy was found ruptured in the splenic flexure of the colon. Although several cases of secondary abdominal pregnancies were reported in the literature, herein we describe a case secondary to the salpingotomy of the primary tubal pregnancy.Conclusion:After surgery for ectopic pregnancy, the patient's serum beta human chorionic gonadotropin levels should be closely followed until negative. When persistent ectopic pregnancy was suspected after surgery, physicians should keep in mind a rare possibility of secondary abdominal pregnancy.

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Section: Introductionmentioning

confidence: 99%

Ruptured secondary abdominal pregnancy after primary laparoscopic treatment for tubal pregnancy

Zhang

Chen²,

Gu³

2017

Medicine

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Post-Dated Breech Pregnancy in a Non-obviously Communicating Rudimentary Horn of a Bicornuate Uterus Requiring Hemi-Hysterectomy

Aminu

Sania²,

Khairunnaesa³

2023

Journal of West African College of Surgeons

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Developmental anomalies of the Müllerian duct systems such as the bicornuate uterus are rare globally and hardly do term pregnancies occur in conjunction with these abnormalities. The occurrence of post-dated pregnancy is rarely associated with a bicornuate uterus. We present a 35-year-old un-booked multigravida with post-date pregnancy complicated by breech and intrauterine foetal death (IUFD) in a rudimentary uterine horn. She had caesarean delivery complicated by intractable postpartum haemorrhage (PPH). This together with the risks of poor uterine involution in the postpartum and obstetric outcome in the event that another pregnancy occurs in the same horn subsequently warranted a caesarean hemi-hysterectomy of the rudimentary uterine horn. Uterine bicornuate is an uncommon genital tract anomaly and a rare cause of post-date pregnancy. Postpartum bleeding warranting caesarean hemi-hysterectomy should be anticipated as the pregnant horn may not be responsive to conventional oxytocics.

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Term Live Secondary Abdominal Pregnancy: A Case Report

Cited by 2 publications

References 7 publications

Ruptured secondary abdominal pregnancy after primary laparoscopic treatment for tubal pregnancy

Ruptured secondary abdominal pregnancy after primary laparoscopic treatment for tubal pregnancy

Post-Dated Breech Pregnancy in a Non-obviously Communicating Rudimentary Horn of a Bicornuate Uterus Requiring Hemi-Hysterectomy

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