Abstract
Abdominal pregnancy is rare, it accounts for about 1% of ectopic pregnancies. It has a high misdiagnosis rate especially if the case is presented for the first time at advanced gestational age. In most of the published cases, abdominal pregnancies do not get to full term gestation and usually the end result is the extraction of a dead fetus or congenitally malformed live fetus. We report a case of undiagnosed advanced abdominal pregnancy at full term that was presented to our hospital for elective caesarean section.
Highlights
Ectopic pregnancy represents about 1-2% of all pregnancies, with 95% of those occurring in the fallopian tubes [1]
It accounts for about 1% of ectopic pregnancies. It has a high misdiagnosis rate especially if the case is presented for the first time at advanced gestational age
We report a case of undiagnosed advanced abdominal pregnancy at full term that was presented to our hospital for elective caesarean section
Summary
Ectopic pregnancy represents about 1-2% of all pregnancies, with 95% of those occurring in the fallopian tubes [1]. The patient stated that she had regular antenatal care and showed an ultrasound report (Figure 1) done at gestational age of 30 weeks + 4ds stating normal sonographic features of the fetus with normal doppler indices of the umbilical artery and that the placenta was located fundo-anteriorly showing few hypoechoic spaces of venous lakes. Ischemia of the sigmoid colon was noted following ligation of the inferior mesenteric artery and the Hartmann’s operation was performed by colorectal surgery specialist because intraoperative conditions contraindicated performance of an anastomosis (Figure 4). Ligation of the left infundibulopelvic ligament was done followed by noted ischemia of the left ovary so left oophorectomy was performed She was transfused with three units of blood and four units of fresh frozen plasma. Regular check up visits were scheduled for the baby in the neonatal unit at our hospital and were uneventful
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