Authors :
Dr. Juma Wafula; Dr. Joan Kimani
Volume/Issue :
Volume 9 - 2024, Issue 12 - December
Google Scholar :
https://tinyurl.com/5af54ck6
Scribd :
https://tinyurl.com/y8th6av4
DOI :
https://doi.org/10.5281/zenodo.14551496
Abstract :
Background:
Abdominal pregnancy is an exceptional type of
pregnancy, happening in 1:10,000 to 1:30,000 pregnancies
culminating to 1.4% of all pregnancies outside the uterus
in Kenya. Diagnosis is often challenging to in acute
situations, causing an increased percentage of feto-
maternal morbidity and mortality.
Case:
In this case report, a 32yr old para 2+0 gravid 3,
presenting with a 1-day history of low abdominal pains
characteristic of labor. Unsure of her dates, not attended
any ANC visits, and was on HAART. History of C/S
previous deliveries. Upon examination, fetal movements
easily palpable, fundal height at term and the cervical OS
was closed. A Diagnosis of uterine rupture was made.
Obstetric ultrasound revealed an Intra –abdominal
pregnancy with uterine rupture as a differential
diagnosis.
References :
- Atrash, H. K., Friede, A., & Hogue, C. J. (1987). Abdominal pregnancy in the United States: frequency and maternal mortality. Obstetrics and gynecology, 69(3 Pt 1), 333–337.
- Bouyer, J., Coste, J., Fernandez, H., Pouly, J. L., & Job-Spira, N. (2002). Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Human reproduction (Oxford, England), 17(12), 3224–3230. https://doi.org/10.1093/humrep/17.12.3224
- Dahab, A. A., Aburass, R., Shawkat, W., Babgi, R., Essa, O., & Mujallid, R. H. (2011). Full-term extrauterine abdominal pregnancy: a case report. Journal of medical case reports, 5, 531. https://doi.org/10.1186/1752-1947-5-531
- Poole, A., & Haas, D. (2018). Abdominal pregnancy. In StatPearls. StatPearls Publishing. Retrieved from https://www.statpearls.com/ArticleLibrary/viewarticle/133
- Nemat AbdulRahman AbdulJabbar, Saquib, S., & Mohammed Talha, W. E. (2018). Successful Management of Abdominal Pregnancy: Two Case Reports. Oman medical journal, 33(2), 171–175. https://doi.org/10.5001/omj.2018.32
- Siati, A., Berrada, T., Baidada, A., & Kharbach, A. (2019). Abdominal pregnancy with a healthy newborn: a new case. The Pan African medical journal, 34, 35. https://doi.org/10.11604/pamj.2019.34.35.20169
Background:
Abdominal pregnancy is an exceptional type of
pregnancy, happening in 1:10,000 to 1:30,000 pregnancies
culminating to 1.4% of all pregnancies outside the uterus
in Kenya. Diagnosis is often challenging to in acute
situations, causing an increased percentage of feto-
maternal morbidity and mortality.
Case:
In this case report, a 32yr old para 2+0 gravid 3,
presenting with a 1-day history of low abdominal pains
characteristic of labor. Unsure of her dates, not attended
any ANC visits, and was on HAART. History of C/S
previous deliveries. Upon examination, fetal movements
easily palpable, fundal height at term and the cervical OS
was closed. A Diagnosis of uterine rupture was made.
Obstetric ultrasound revealed an Intra –abdominal
pregnancy with uterine rupture as a differential
diagnosis.