Abdominal pregnancy with a live newborn in a low-resource setting: A case report

Abdominal pregnancy is defined as pregnancy anywhere within the peritoneal cavity, exclusive of tubal, ovarian, or broad ligament locations. It is a rare form of ectopic pregnancy with high morbidity and mortality for both the mother and the fetus.Diagnosis can be frequently missed in low-resource s...

Full description

Bibliographic Details
Main Authors: Olivier Mulisya, Guelord Barasima, Henry Mark Lugobe, Philémon Matumo, Bienfait Mumbere Vahwere, Hilaire Mutuka, Zawadi Léocadie, Wesley Lumika
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Case Reports in Women's Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911223000048
_version_ 1797853958960578560
author Olivier Mulisya
Guelord Barasima
Henry Mark Lugobe
Philémon Matumo
Bienfait Mumbere Vahwere
Hilaire Mutuka
Zawadi Léocadie
Wesley Lumika
author_facet Olivier Mulisya
Guelord Barasima
Henry Mark Lugobe
Philémon Matumo
Bienfait Mumbere Vahwere
Hilaire Mutuka
Zawadi Léocadie
Wesley Lumika
author_sort Olivier Mulisya
collection DOAJ
description Abdominal pregnancy is defined as pregnancy anywhere within the peritoneal cavity, exclusive of tubal, ovarian, or broad ligament locations. It is a rare form of ectopic pregnancy with high morbidity and mortality for both the mother and the fetus.Diagnosis can be frequently missed in low-resource settings because of poor antenatal healthcare provision, low socioeconomic patient status as well as lack of adequate medical resources. Clinical diagnosis can be difficult and ultrasound scan is helpful during the early stages of gestation but can be disappointing thereafter.A case of abdominal pregnancy in a 25-year-old woman, who presented at 26 weeks of gestation with severe abdominal pain not relieved by any medication, is reported. An emergency laparotomy was undertaken as her vital signs deteriorated. An abdominal pregnancy was found and a live neonate delivered.Ministries of health in developing countries should ensure routine access to ultrasound in early pregnancy. Obstetricians should bear in mind that abdominal pregnancy can present late in gestation.
first_indexed 2024-04-09T19:59:12Z
format Article
id doaj.art-f87e8455aada4bdab459e74e0cecc21a
institution Directory Open Access Journal
issn 2214-9112
language English
last_indexed 2024-04-09T19:59:12Z
publishDate 2023-03-01
publisher Elsevier
record_format Article
series Case Reports in Women's Health
spelling doaj.art-f87e8455aada4bdab459e74e0cecc21a2023-04-03T05:21:30ZengElsevierCase Reports in Women's Health2214-91122023-03-0137e00480Abdominal pregnancy with a live newborn in a low-resource setting: A case reportOlivier Mulisya0Guelord Barasima1Henry Mark Lugobe2Philémon Matumo3Bienfait Mumbere Vahwere4Hilaire Mutuka5Zawadi Léocadie6Wesley Lumika7Department of Gynecology and Obstetrics, Fepsi hospital, Butembo, Democratic Republic of the Congo; Corresponding author at: Department of Gynecology and Obstetrics, FEPSI hospital, Butembo, Democratic Republic of the Congo.Department of Gynecology and Obstetrics, La Breche Medical Center, 00243 La Breche, BENI, Democratic Republic of the CongoDepartment of Gynecology and Obstetrics, Mbarara University of Science and Technology, P.O. BOX 1410, Mbarara Uganda, UgandaDépartement de Gynécologie Obstétrique, Université Catholique du Graben, Butembo, Democratic Republic of the CongoSurgery Department of Kampala International University, Box 20000, Gbaba Road, kansanga, kampala, UgandaDépartement de chirurgie, Institut de Technique Médical, Butembo, Democratic Republic of the CongoDepartment of Gynecology and Obstetrics, La Breche Medical Center, 00243 La Breche, BENI, Democratic Republic of the CongoDepartment of Gynecology and Obstetrics, La Breche Medical Center, 00243 La Breche, BENI, Democratic Republic of the CongoAbdominal pregnancy is defined as pregnancy anywhere within the peritoneal cavity, exclusive of tubal, ovarian, or broad ligament locations. It is a rare form of ectopic pregnancy with high morbidity and mortality for both the mother and the fetus.Diagnosis can be frequently missed in low-resource settings because of poor antenatal healthcare provision, low socioeconomic patient status as well as lack of adequate medical resources. Clinical diagnosis can be difficult and ultrasound scan is helpful during the early stages of gestation but can be disappointing thereafter.A case of abdominal pregnancy in a 25-year-old woman, who presented at 26 weeks of gestation with severe abdominal pain not relieved by any medication, is reported. An emergency laparotomy was undertaken as her vital signs deteriorated. An abdominal pregnancy was found and a live neonate delivered.Ministries of health in developing countries should ensure routine access to ultrasound in early pregnancy. Obstetricians should bear in mind that abdominal pregnancy can present late in gestation.http://www.sciencedirect.com/science/article/pii/S2214911223000048Abdominal pregnancyLive newbornUltrasound imagingAbdominal painCase report
spellingShingle Olivier Mulisya
Guelord Barasima
Henry Mark Lugobe
Philémon Matumo
Bienfait Mumbere Vahwere
Hilaire Mutuka
Zawadi Léocadie
Wesley Lumika
Abdominal pregnancy with a live newborn in a low-resource setting: A case report
Case Reports in Women's Health
Abdominal pregnancy
Live newborn
Ultrasound imaging
Abdominal pain
Case report
title Abdominal pregnancy with a live newborn in a low-resource setting: A case report
title_full Abdominal pregnancy with a live newborn in a low-resource setting: A case report
title_fullStr Abdominal pregnancy with a live newborn in a low-resource setting: A case report
title_full_unstemmed Abdominal pregnancy with a live newborn in a low-resource setting: A case report
title_short Abdominal pregnancy with a live newborn in a low-resource setting: A case report
title_sort abdominal pregnancy with a live newborn in a low resource setting a case report
topic Abdominal pregnancy
Live newborn
Ultrasound imaging
Abdominal pain
Case report
url http://www.sciencedirect.com/science/article/pii/S2214911223000048
work_keys_str_mv AT oliviermulisya abdominalpregnancywithalivenewborninalowresourcesettingacasereport
AT guelordbarasima abdominalpregnancywithalivenewborninalowresourcesettingacasereport
AT henrymarklugobe abdominalpregnancywithalivenewborninalowresourcesettingacasereport
AT philemonmatumo abdominalpregnancywithalivenewborninalowresourcesettingacasereport
AT bienfaitmumberevahwere abdominalpregnancywithalivenewborninalowresourcesettingacasereport
AT hilairemutuka abdominalpregnancywithalivenewborninalowresourcesettingacasereport
AT zawadileocadie abdominalpregnancywithalivenewborninalowresourcesettingacasereport
AT wesleylumika abdominalpregnancywithalivenewborninalowresourcesettingacasereport