scholarly journals Undiagnosed advanced abdominal pregnancy: a case report

2021 ◽  
Vol 7 (12) ◽  
pp. 590
Author(s):  
Ekundayo O. Ayegbusi ◽  
Oluwatoyin O. Fadare ◽  
Akintunde O. Fehintola ◽  
Akinyosoye D. Ajiboye ◽  
Akaninyene E. Ubom
Keyword(s):  
Breech Presentation ◽  
Fetal Outcome ◽  
Morbidity And Mortality ◽  
Abdominal Pregnancy ◽  
Emergency Cesarean ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Advanced Abdominal Pregnancy ◽  
Live Fetus ◽  
High Index Of Suspicion

<p class="abstract">Abdominal pregnancy is a rare form of extra-uterine gestation in which implantation occurs in the peritoneal cavity, unlike this case it rarely reaches advanced gestation and viability of fetal outcome are not commonly documented. Abdominal pregnancy accounts for about 1-2% of ectopic gestation. It is associated with poor fetal outcome and great morbidity and mortality due to heamorrhage especially in a low resource setting. We present an undiagnosed advanced case of abdominal pregnancy of a 30 yr old unbooked G2P1+0 (1A) with early ultrasound estimation of 37 weeks and 6 days. She presented with (abdominal) labour pains and ultrasound diagnosis of breech presentation, suspicion of a bicornuate uterus and intrauterine growth restriction. She was planned for emergency cesarean delivery on this basis but found advanced abdominal pregnancy, and subsequently on delivery had good maternal and fetal outcome. Abdominal pregnancy with live fetus is extremely rare, and requires a high index of suspicion, to avoid high risk of maternal morbidity and mortality and it is also imperative for all healthcare givers to localized pregnancy whenever they get in contact with a woman who has recently missed her period.</p>

scholarly journals Diagnostic Dilemma in Abdominal Pregnancy - A Case Report

1970 ◽  
Vol 27 (3) ◽  
pp. 177-180
Author(s):  
Laila Afroz ◽  
Shiuly Chowdhury ◽  
Syed Iqbal Mazhar
Keyword(s):  
Fetal Death ◽  
Diagnostic Error ◽  
Fetal Outcome ◽  
High Index ◽  
Abdominal Pregnancy ◽  
Diagnostic Dilemma ◽  
Mortality And Morbidity ◽  
Advanced Abdominal Pregnancy ◽  
Maternal Mortality And Morbidity ◽  
High Index Of Suspicion

Advanced abdominal pregnancy is a very rare and complex condition demanding challenging management. High index of suspicion may reduce the diagnostic error. Maternal mortality and morbidity is high and fetal outcome is poor. The key to favorable maternal outcome is early diagnosis and management. A case of 37 weeks abdominal pregnancy with fetal death has been reported here. The patient was repeatedly admitted in the Gynae and Obstetric department in different units for unusual abdominal discomfort beginning from 20th weeks of pregnancy. But the diagnosis had been missed everytime. Finally, she reported with 37th week's pregnancy with intra-uterine fetal death. With high index of suspicion ultrasonography was done by an Obstetrician in the department which gave the diagnosis and was confirmed by laparotomy.   DOI:10.3329/jbcps.v27i3.4298 J Bangladesh Coll Phys Surg 2009; 27: 177-180

scholarly journals Hirsutism Caused by Pregnancy Luteoma in a Low-Resource Setting: A Case Report and Literature Review

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
David Hamisi Mvunta ◽  
Fatemazahra Amiji ◽  
Mubina Suleiman ◽  
Francisco Baraka ◽  
Ikrah Abdallah ◽  
...  
Keyword(s):  
Imaging Techniques ◽  
Present Report ◽  
Benign Neoplasm ◽  
Clinical Situation ◽  
Emergency Cesarean ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Androgenic Activity ◽  
Prolonged Labor ◽  
Pathological Report

Background. Pregnancy luteomas are rare, benign, ovarian neoplasms resulting from increased androgenic activity during pregnancy. Often, they occur asymptomatically and are only diagnosed incidentally during imaging or surgery: cesarean section or postpartum tubal ligation. Most common symptoms associated with pregnancy luteoma include acne, deepening of voice, hirsutism, and clitoromegaly. Most pregnancy luteomas regress spontaneously postpartum. Thus, the management of pregnancy luteomas depends on the clinical situation. Case. We report a case of 28-year-old gravida 2, para 1 who presented at 39 + 1 weeks of gestation with prolonged labor and delivered by emergency cesarean. Intraoperatively, a huge left ovarian mass was identified and resected, and tissue was sent for histopathology and a diagnosis of pregnancy luteoma was made after the pathological report. Conclusion. The present report emphasizes that pregnancy luteoma is a benign neoplasm and imprudent surgical intervention should be reserved. Proper imaging techniques, preferably MRI or ultrasonography that visualize the size of the ovary and reproductive hormonal profiles, would suffice for the diagnosis and management of pregnancy luteoma.

scholarly journals Advanced Abdominal Pregnancy (AAP) after 20 Weeks of Gestation in Japan: A Retrospective Review

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Tatsuji Hoshino ◽  
Tatsuo Mori ◽  
Yu Fujii ◽  
Shinya Yoshioka
Keyword(s):  
Birth Weight ◽  
Live Birth ◽  
Placenta Previa ◽  
Breech Presentation ◽  
Developed Countries ◽  
Current Medical ◽  
Careful Examination ◽  
Abdominal Pregnancy ◽  
Medical Environment ◽  
Advanced Abdominal Pregnancy

Background. An advanced abdominal pregnancy (AAP) rarely continues to a live birth, but sometimes, a live birth may occur. In developed countries, women with AAP who have not been diagnosed preoperatively are expected to be diagnosed quickly, and the pregnant woman and the fetus will be saved. After careful examination of the past cases, we sought to derive what is the best diagnosis and treatment choice in the current medical environment. Materials and Methods. We retrospectively studied AAP cases in Japan. We examined diagnosis of AAP before fetal delivery and placental treatment at the time of delivery. AAP was well documented in 10 cases. We contacted the AAP authors, who reported 10 AAP cases in Japan, directly to confirm any unclear points. Results. Two cases were diagnosed with AAP before laparotomy, one was diagnosed after IUFD, and seven were diagnosed at the time of laparotomy. The two most recent cases were diagnosed with AAP preoperatively by ultrasound and MRI. Six cases were described for preoperative diagnosis. There were two cases of placenta previa, one of a bicornuate uterus, one of breech presentation, one of a combination of uterine cervical fibroids and placenta previa, and one of a combination of presentation and placental abnormality with uterine fibroids. In five cases, the placenta was removed at the time of laparotomy. Simultaneous removal of the placenta during laparotomy could not be performed because of intra-amniotic infection with a macerated fetus in an IUFD case. Among eight cases, excluding 20-week and 21-week gestation with no expectation of viable newborns, there were one male and seven female fetuses. The birth weight ranged from 1765 to 3520 g, with a median birth weight of 2241 g. Combined malformations were described in six of the seven live births. Clubfoot, torticollis, joint contracture, and bone deformity were transient because intrauterine compression quickly improved. Conclusion. In recent cases, AAP has been diagnosed by MRI and ultrasound. MRI should be performed if abdominal pregnancy is suspected. Postoperative infections may occur if the placenta is not removed at the time of delivery. We recommend placental resection with the help of an anesthesiologist, a gynecologist, a urologist, and a surgeon in the current medical environment.

scholarly journals Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Fekade Getachew Hailu ◽  
Getnet Tesfaye Yihunie ◽  
Ahmed Amdihun Essa ◽  
Walelign kindie Tsega
Keyword(s):  
Case Report ◽  
Severe Preeclampsia ◽  
Abdominal Pregnancy ◽  
Advanced Abdominal Pregnancy ◽  
Live Fetus

scholarly journals Prolapsed ileocolic intussusception in an adult : A bizarre presentation leading to delayed diagnosis in a low resource setting

2021 ◽  
Vol 9 (2) ◽  
pp. 115-120
Author(s):  
M. Umar ◽  
Y. Stephen ◽  
U. Aminu ◽  
I. Adogu
Keyword(s):  
Delayed Diagnosis ◽  
Exploratory Laparotomy ◽  
Adult Intussusception ◽  
Tubular Adenoma ◽  
Ileocolic Intussusception ◽  
Abdominal Symptoms ◽  
Resource Setting ◽  
Low Resource Setting ◽  
History Of ◽  
High Index Of Suspicion

Background: Intussusception is the telescoping of one part of the intestine into the lumen of the adjoining part, which occurs more in the ileocaecal part of the intestine. It is the most common cause of intestinal obstruction in children younger than 3years of age. Occurrence is rare in adult, with prolapsed intussusceptions even rarer and occuring more in association with an underlying predisposing intestinal abnormality.Case Report: A 19year old boy presented with 6months history of recurrent non-specific, occasionally dull aching abdominal pain, progressive weight loss and a 4hour history of anal protrusion. He had presented multiple times to a peripheral hospital where the definitive diagnosis was missed. He was evaluated for ileocolic intussusception and he had exploratory laparotomy and right hemi colectomy done.Conclusion: Intussusceptions are rare outside childhood, however there should be a high index of suspicion of intussusception in adult with nonspecific abdominal symptoms who has not responded to conventional conservative therapy. Keywords: intussusception, ileocolic, tubular adenoma, adult intussusception

scholarly journals Advanced Abdominal Pregnancy with a Full-Term Live Fetus: Case Report

2013 ◽  
Vol 8 (1) ◽  
pp. 40-43 ◽  
Author(s):  
M Mahbuba ◽  
Kaneez Fatema ◽  
Ratan Kumar Saha
Keyword(s):  
Case Report ◽  
Antenatal Care ◽  
Late Presentation ◽  
Full Term ◽  
Abdominal Pregnancy ◽  
Healthy Male ◽  
Medical College ◽  
Male Baby ◽  
Advanced Abdominal Pregnancy ◽  
Live Fetus

Advanced abdominal pregnancy (AAP) with a viable full-term fetus is a rarity that a few obstetricians encounter during their professional carrier. Usually it has a dramatic and catastrophic consequence both for the fetus & the mother; rather subsequent delivery of a viable full term fetus is exceptional. It is difficult to diagnose preoperatively. Though relatively rare, we received an AAP at term with live fetus in Faridpur Medical College & hospital. Illiteracy, poverty and lack of antenatal care had resulted in her late presentation. After laparotomy the diagnosis was confirmed, a healthy male baby was delivered. DOI: http://dx.doi.org/10.3329/fmcj.v8i1.16898 Faridpur Med. Coll. J. 2013;8(1): 40-43

Sign in / Sign up

Export Citation Format

Share Document