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. 2009 Sep;2(3):196-8.
doi: 10.4103/0974-2700.55342.

Abdominal pregnancy as a cause of hemoperitoneum

Sheikh Muzamil Shafi  1 , Misbha Afsheen Malla, Parvaiz Ahmed Salaam, Omer Shareef Kirmani
Affiliations

Abdominal pregnancy as a cause of hemoperitoneum

Sheikh Muzamil Shafi et al. J Emerg Trauma Shock. 2009 Sep.

Abstract

The coexistence of intrauterine and extrauterine pregnancy, the heterotopic pregnancy, is a rare obstetric phenomenon. The preoperative diagnosis of this condition is very difficult; leading to a higher maternal morbidity and fetal loss. We experienced a case of intrauterine pregnancy and ruptured abdominal pregnancy implanted on the illeocaecal region in a 26-year-old primiparous woman. She was clinically misdiagnosed as a case of ruptured ectopic pregnancy, but ultrasonography showed it to be a case of heterotopic pregnancy. Subsequently, the patient was subjected to laparotomy and the ruptured abdominal pregnancy was evacuated. She continued with the intrauterine pregnancy till term and delivered a healthy female baby. Although this condition is unusual, any general surgeon in the emergency department must be aware of this complication and its management, which is often initially misdiagnosed.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Ultrasonography showing intra-uterine pregnancy
Figure 2
Figure 2
Ultrasonography showing intra-abdominal pregnancy
Figure 3
Figure 3
Intra-abdominal fetus being delivered
See this image and copyright information in PMC

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