Undiagnosed advanced abdominal pregnancy with fetal demise: A case report
DOI:
https://doi.org/10.59692/jogeca.v33i4.459Keywords:
advanced abdominal pregnancy, intrauterine fetal demise, macerated stillbirthAbstract
Background: Abdominal pregnancy is rare and non-fatal. There are no specific associated symptoms, especially in cases of an uncomplicated type, which can reach term gestation.
Case presentation: A 30-year-old gravida 2 para 1 presented to the labor ward as a referral with a confirmed intrauterine fetal demise (IUFD) by a transabdominal ultrasound at 36 weeks + 1 day. She was not in labor,had no drainage of liquor or per vaginal bleeding. A repeat scan confirmed the IUFD. Induction of labor was started but was unsuccessful. Intraoperatively, an abdominal pregnancy was found with a macerated stillbirth. The placenta was adherent to the small intestines and was left in the abdomen. She was managed conservatively with intravenous fluids and antibiotics. Her postnatal follow-up was unremarkable.
Conclusion: Undiagnosed advanced abdominal pregnancies are common in low-resource settings, especially when antenatal care visits are not adhered to. Sensitization on antenatal care and ultrasound and magnetic resonance imaging, when accessible, are critical in the diagnosis of late-stage abdominal pregnancy.
References
Siati A, Berrada T, Baidada A, Kharbach A. Abdominal pregnancy with a healthy newborn: A new case. Pan Afr Med J [Internet]. 2019;34:1–5. Available from: https://www.panafrican-med-journal.com/conte nt/article/34/35/full/
Abdul Jabbar NAR, Saquib S, Talha WEM. Successful management of abdominal pregnancy: Two case reports. Oman Med J. 2018;33(2):171–5
Hailu FG, Yihunie GT, Essa AA, Tsega W kindie. Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report. BMC Pregnancy Childbirth [Internet]. 2017;17(1):1–4. Available from: https://bmcpregnancychildbirth.biomedcentral. com/articles/10.1186/s12884-017 1437
Osoti A, Gwako GN, Liyayi B, Qureshi ZP. Distinguishing intrauterine foetal demise versus abdominal pregnancy in low resource settings, A case report. East Afr Med J. 2015;92(2):93–6
Kalpana Radhakrishnan M. Radiological Case: Intra-abdominal pregnancy. Appl Radiol Internet]. 2015 May;(May). Available from: https://appliedradiology.com/articles/radiologic al-case-intra-abdominal-pregnancy
Tolefac PN, Abanda MH, Minkande JZ, Priso EB. The challenge in the diagnosis and management of an advanced abdominal pregnancy in a resource-low setting: A case report. J Med Case Rep. 2017;11(1):1–5
Osegi N, Makinde OI, Eghaghe PO, Zawua Z, Ohaka BN. Abdominal pregnancy misdiagnosed as an intrauterine pregnancy: a cause of failed induction of labour for fetal death. Int J Reprod Contraception, Obstet Gynecol. 2019;8(8):3382
Deng MX, Zou Y. Evaluating a magnetic resonance imaging of the third-trimester abdominal pregnancy. Med (United States). 2017;96(48):4–7
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