Full-Term Live Secondary Abdominal Pregnancy: A Rare Case Report

Excerpt

An extra-uterine abdominal pregnancy is a very rare form of ectopic pregnancy where implantation occurs within the peritoneal cavity excluding ovary, fallopian tube and broad ligament. It is estimated to occur in 1 out of 10,000 to 30,000 pregnancies [1, 2]. Despite the use of routine antenatal ultrasound, its diagnosis is frequently missed [3]. However, it is extremely important to detect an extra-uterine abdominal pregnancy because the associated maternal mortality rate is 5 out of 1000 cases which is approximately seven times higher than ectopic pregnancy and about 90 times higher than intrauterine pregnancy. The site of implantation and availability of vascular supply are believed to be factors that may influence the possibility of fetal survival. Advanced abdominal pregnancy carries a risk of hemorrhage, disseminated intravascular coagulation, bowel obstruction and fistula formation. Survival of new born is also affected with a perinatal mortality rate of 40–95%. …