Abstract
IntroductionAdvanced abdominal (extrauterine) pregnancy is a rare condition with high maternal and fetal morbidity and mortality. Because the placentation in advanced abdominal pregnancy is presumed to be inadequate, advanced abdominal pregnancy can be complicated by pre-eclampsia, which is another condition with high maternal and perinatal morbidity and mortality. Diagnosis and management of advanced abdominal pregnancy is difficult.Case presentationWe present the case of a 33-year-old African woman in her first pregnancy who had a full-term advanced abdominal pregnancy and developed gross ascites post-operatively. The patient was successfully managed; both the patient and her baby are apparently doing well.ConclusionBecause most diagnoses of advanced abdominal pregnancy are missed pre-operatively, even with the use of sonography, the cornerstones of successful management seem to be quick intra-operative recognition, surgical skill, ready access to blood products, meticulous post-operative care and thorough assessment of the newborn.
Highlights
Advanced abdominal pregnancy is a rare condition with high maternal and fetal morbidity and mortality
Ruptured tubal ectopic pregnancies account for the majority of abdominal (extrauterine) pregnancy (AAP)
We report a case of full-term AAP without maternal or fetal death
Summary
Because most diagnoses of AAP are missed pre-operatively even with the use of sonography, the cornerstones of successful management seem to be quick intra-operative recognition, surgical skill, ready access to blood products, meticulous post-operative care and thorough assessment of the newborn. Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Competing interests The authors declare that they have no competing interests. Authors’ contributions SN was the patient’s primary physician. GM wrote the first draft of the article. ES, AM, EM, WN and SN revised the manuscript making important intellectual contributions. All authors read and approved the final version of the manuscript
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