Advanced secondary abdominal pregnancy: a case report

Author:

Mensah Teresa A.1,Boateng Alex K.1,Doffour-Dapaah Kwaku1,Erskine Isaac2,Oppong Samuel A. Oppong3,Coleman Jerry3,Alim Swarray-Deen 3

Affiliation:

1. Department of Obstetrics & Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana

2. Department of Pathology, Korle Bu Teaching Hospital, Accra, Ghana

3. Department of Obstetrics & Gynaecology, College of Health sciences, University of Ghana Medical School, Accra, Ghana

Abstract

Background: Abdominal pregnancy, although a rare condition, has life-threatening consequences. This case report aims to expose the clinical and diagnostic challenges encountered in its management. We report a case of a 28-year-old gravida 2, para 1 woman, 35 weeks pregnant, who presented to Korle Bu Teaching Hospital with generalised abdominal pain and an ultrasound indicating a major-degree placenta previa. A repeat ultrasound assessment identified a viable abdominal pregnancy with the placenta attached to the uterine fundus. An emergency hysterectomy was done on account of a massive haemorrhage after the delivery of a live female foetus.

Publisher

University of Ghana

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