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Journal of Medical Case Reports

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Open Access 01-12-2017 | Case report

The challenge in the diagnosis and management of an advanced abdominal pregnancy in a resource-low setting: a case report

Authors: Paul N. Tolefac, Martin H. Abanda, Jacqueline Ze Minkande, Eugene Belley Priso

Published in: Journal of Medical Case Reports | Issue 1/2017

Abstract

Background

Abdominal pregnancy is a rare form of ectopic pregnancy that is frequently left undiagnosed by inexperienced obstetricians and radiologists. It is associated with higher risk of maternal hemorrhage at any gestation and more at advanced gestation.

Case presentation

We present the case of a 22-year-old sub-Saharan African woman, gravida 3 para 0, who was diagnosed with advanced abdominal pregnancy of 25 weeks’ gestation by a transvaginal ultrasound after the failure of two medical terminations of pregnancy in the first and second trimesters and a series of repeated obstetric ultrasounds showing intrauterine pregnancy. Laparotomy was done and her recovery was uneventful.

Conclusions

The management of advanced abdominal pregnancy is more challenging as compared to earlier gestation so patients with failed medical termination of pregnancy should be critically analyzed for ectopic pregnancy as early as possible.

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Title: The challenge in the diagnosis and management of an advanced abdominal pregnancy in a resource-low setting: a case report
Authors: Paul N. Tolefac
Martin H. Abanda
Jacqueline Ze Minkande
Eugene Belley Priso
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2017
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-017-1369-1

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The challenge in the diagnosis and management of an advanced abdominal pregnancy in a resource-low setting: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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