Published in:
Open Access
01-12-2013 | Case report
Full-term abdominal extrauterine pregnancy complicated by post-operative ascites with successful outcome: a case report
Authors:
Gwinyai Masukume, Elton Sengurayi, Alfred Muchara, Emmanuel Mucheni, Wedu Ndebele, Solwayo Ngwenya
Published in:
Journal of Medical Case Reports
|
Issue 1/2013
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Abstract
Introduction
Advanced 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 presentation
We 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.
Conclusion
Because 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.