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Case Reports
. 2017:2017:4096783.
doi: 10.1155/2017/4096783. Epub 2017 Feb 26.

Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area

Henri Donald Mutarambirwa  1 , Bruno Kenfack  2 , Jovanny Tsuala Fouogue  3
Affiliations
Case Reports

Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area

Henri Donald Mutarambirwa et al. Case Rep Obstet Gynecol. 2017.

Abstract

Abdominal pregnancy (AP) accounts for 1% of ectopic implantations. In sub-Saharan Africa, the high prevalence of sexually transmitted infections explains the increasing frequency of this pathology. In Cameroon it rose from 1/10000 deliveries (1995) to 3.3/10000 (2015). Authors herein report a case of a viable abdominal pregnancy discovered at term during emergency laparotomy for suspected uterine rupture. The 24-year-old G2P0 patient was HIV-positive, under antiretrovirals, though AP exceptionally occurs in HIV patients. She did only two antenatal consultations: her main complaint was abdominal pain but five echographies concluded to normal intrauterine pregnancy. Findings at laparotomy were as follows: amnioperitoneum, a live female baby weighing 3.4 kilogrammes without deformities and a placenta deeply inserted on the uterine fundus. Removal of the placenta triggered massive bleeding (2400 milliliters) with shock managed with a tourniquet on the lower uterine segment and fluid resuscitation. Outcome was favourable for the mother and child. Prevention of vertical transmission of HIV was successful with antiretroviral therapy.

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Conflict of interest statement

The authors declare that there are no competing interests regarding the publication of this paper.

Figures

Figure 1
Figure 1
View of the placenta and uterus after extraction of the foetus.
Figure 2
Figure 2
Normal uterus with the placenta implanted on the posterofundal surface.
Figure 3
Figure 3
Uterus after placenta removal and uterine suture.
See this image and copyright information in PMC

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