Diagnosis of abdominal pregnancy still a challenge in low resource settings: a case report on advanced abdominal pregnancy at a tertiary facility in Western Kenya
Abdominal pregnancy is a rare form of ectopic pregnancy, occurring in 1: 10,000 to 1: 30,000 pregnancies and accounting for up to 1.4% of all ectopic pregnancies. It is classified as primary or secondary depending on the site of fertilization. However, when it does happen, it may remain unnoticed un...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Pan African Medical Journal
2018-12-01
|
| Series: | The Pan African Medical Journal |
| Subjects: | |
| Online Access: |
https://www.panafrican-med-journal.com/content/article/31/239/pdf/239.pdf
|
| _version_ | 1818917107751976960 |
|---|---|
| author | Sahara Shurie John Ogot Philippe Poli Edwin Were |
| author_facet | Sahara Shurie John Ogot Philippe Poli Edwin Were |
| author_sort | Sahara Shurie |
| collection | DOAJ |
| description | Abdominal pregnancy is a rare form of ectopic pregnancy, occurring in 1: 10,000 to 1: 30,000 pregnancies and accounting for up to 1.4% of all ectopic pregnancies. It is classified as primary or secondary depending on the site of fertilization. However, when it does happen, it may remain unnoticed until term because the pregnancy can appear normal during clinical examination. Advanced abdominal pregnancy is associated with high mortality rate for both the mother and the baby at 1-20% and 40-95% respectively. We report a case of a 30-year-old female para 2+0, gravida 3 at 35 weeks + 1 day who presented at a tertiary facility in Eldoret Kenya with one-day history of per vaginal bleeding and 2 weeks history of no fetal movements. The importance of this case report is to highlight the challenges associated with diagnosis of advanced abdominal pregnancy in low resource settings. Ultrasound alone cannot be relied on to make the diagnosis. Whenever an induction is not working, abdominal pregnancy should be considered. |
| first_indexed | 2024-12-20T00:28:49Z |
| format | Article |
| id | doaj.art-767af8b435154866b9e573b311bee5a0 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-20T00:28:49Z |
| publishDate | 2018-12-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-767af8b435154866b9e573b311bee5a02022-12-21T20:00:00ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882018-12-013123910.11604/pamj.2018.31.239.1776617766Diagnosis of abdominal pregnancy still a challenge in low resource settings: a case report on advanced abdominal pregnancy at a tertiary facility in Western KenyaSahara Shurie0John Ogot1Philippe Poli2Edwin Were3 Department of Reproductive Health, College of Health Sciences Moi University, Eldoret, Kenya Department of Reproductive Health, College of Health Sciences Moi University, Eldoret, Kenya Department of Reproductive Health, College of Health Sciences Moi University, Eldoret, Kenya Department of Reproductive Health, College of Health Sciences Moi University, Eldoret, Kenya Abdominal pregnancy is a rare form of ectopic pregnancy, occurring in 1: 10,000 to 1: 30,000 pregnancies and accounting for up to 1.4% of all ectopic pregnancies. It is classified as primary or secondary depending on the site of fertilization. However, when it does happen, it may remain unnoticed until term because the pregnancy can appear normal during clinical examination. Advanced abdominal pregnancy is associated with high mortality rate for both the mother and the baby at 1-20% and 40-95% respectively. We report a case of a 30-year-old female para 2+0, gravida 3 at 35 weeks + 1 day who presented at a tertiary facility in Eldoret Kenya with one-day history of per vaginal bleeding and 2 weeks history of no fetal movements. The importance of this case report is to highlight the challenges associated with diagnosis of advanced abdominal pregnancy in low resource settings. Ultrasound alone cannot be relied on to make the diagnosis. Whenever an induction is not working, abdominal pregnancy should be considered. https://www.panafrican-med-journal.com/content/article/31/239/pdf/239.pdf abdominal pregnancyadvanced abdominal pregnancyectopic pregnancy |
| spellingShingle | Sahara Shurie John Ogot Philippe Poli Edwin Were Diagnosis of abdominal pregnancy still a challenge in low resource settings: a case report on advanced abdominal pregnancy at a tertiary facility in Western Kenya The Pan African Medical Journal abdominal pregnancy advanced abdominal pregnancy ectopic pregnancy |
| title | Diagnosis of abdominal pregnancy still a challenge in low resource settings: a case report on advanced abdominal pregnancy at a tertiary facility in Western Kenya |
| title_full | Diagnosis of abdominal pregnancy still a challenge in low resource settings: a case report on advanced abdominal pregnancy at a tertiary facility in Western Kenya |
| title_fullStr | Diagnosis of abdominal pregnancy still a challenge in low resource settings: a case report on advanced abdominal pregnancy at a tertiary facility in Western Kenya |
| title_full_unstemmed | Diagnosis of abdominal pregnancy still a challenge in low resource settings: a case report on advanced abdominal pregnancy at a tertiary facility in Western Kenya |
| title_short | Diagnosis of abdominal pregnancy still a challenge in low resource settings: a case report on advanced abdominal pregnancy at a tertiary facility in Western Kenya |
| title_sort | diagnosis of abdominal pregnancy still a challenge in low resource settings a case report on advanced abdominal pregnancy at a tertiary facility in western kenya |
| topic | abdominal pregnancy advanced abdominal pregnancy ectopic pregnancy |
| url |
https://www.panafrican-med-journal.com/content/article/31/239/pdf/239.pdf
|
| work_keys_str_mv | AT saharashurie diagnosisofabdominalpregnancystillachallengeinlowresourcesettingsacasereportonadvancedabdominalpregnancyatatertiaryfacilityinwesternkenya AT johnogot diagnosisofabdominalpregnancystillachallengeinlowresourcesettingsacasereportonadvancedabdominalpregnancyatatertiaryfacilityinwesternkenya AT philippepoli diagnosisofabdominalpregnancystillachallengeinlowresourcesettingsacasereportonadvancedabdominalpregnancyatatertiaryfacilityinwesternkenya AT edwinwere diagnosisofabdominalpregnancystillachallengeinlowresourcesettingsacasereportonadvancedabdominalpregnancyatatertiaryfacilityinwesternkenya |