tailieunhanh - báo cáo khoa học: "Full-term extrauterine abdominal pregnancy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Full-term extrauterine abdominal pregnancy: a case report | Dahab et al. Journal of Medical Case Reports 2011 5 531 http content 5 1 531 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Full-term extrauterine abdominal pregnancy a case report 1 1 2 11 3 Amal A Dahab Rahma Aburass Wasima Shawkat Reem Babgi Ola Essa and Razaz H Mujallid Abstract Introduction Extrauterine abdominal pregnancy is extremely rare and is frequently missed during antenatal care. This is a report of a full-term extrauterine abdominal pregnancy in a primigravida who likely had a ruptured ectopic pregnancy with secondary implantation and subsequently delivered a healthy baby. Case presentation A 23-year-old Middle Eastern primigravida presented at 14 weeks gestation with intermittent suprapubic pain and dysuria. An abdominal ultrasound examination showed a single viable fetus with free fluid in her abdomen. A follow-up examination at term showed a breech presentation and the possibility of a bicornute uterus with the fetus present in the left horn of her uterus. Our patient underwent Cesarean delivery under general anesthesia and was found to have a small intact uterus with the fetus lying in her abdomen and surrounded by an amniotic fluid-filled sac. The baby was extracted uneventfully but the placenta was implanted in the left broad ligament and its removal resulted in massive intraoperative bleeding that necessitated blood and blood products transfusion and the administration of Factor VII to control the bleeding. Both the mother and newborn were discharged home in good condition. Conclusions An extrauterine abdominal pregnancy secondary to a ruptured ectopic pregnancy with secondary implantation could be missed during antenatal care and continue to term with good maternal and fetal outcome. An advanced extrauterine pregnancy should not result in the automatic termination of the pregnancy. Introduction An extrauterine abdominal pregnancy is a very rare form of ectopic pregnancy where implantation occurs within .