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. 2013 Jan 9:7:10.
doi: 10.1186/1752-1947-7-10.

Full-term abdominal extrauterine pregnancy complicated by post-operative ascites with successful outcome: a case report

Gwinyai Masukume  1 , Elton Sengurayi, Alfred Muchara, Emmanuel Mucheni, Wedu Ndebele, Solwayo Ngwenya
Affiliations

Full-term abdominal extrauterine pregnancy complicated by post-operative ascites with successful outcome: a case report

Gwinyai Masukume et al. J Med Case Rep. .

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.

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Figures

Figure 1
Figure 1
Placenta and membranes adherent to loop of bowel (anterior view). Note linea nigra.
Figure 2
Figure 2
Placenta and membranes adherent to loop of bowel (posterior view).
See this image and copyright information in PMC

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