Rivista di ostetricia e ginecologia最新文献

A Rare Case of Secondary Abdominal Pregnancy 继发性腹部妊娠1例

Rivista di ostetricia e ginecologia Pub Date : 2015-01-01 DOI: 10.21275/v4i11.nov151494

BL Dr.Aparna, Dr. Shalini, D. Priyadarshani, Dr. Romita, Dr. Ranjit Singh

{"title":"A Rare Case of Secondary Abdominal Pregnancy","authors":"BL Dr.Aparna, Dr. Shalini, D. Priyadarshani, Dr. Romita, Dr. Ranjit Singh","doi":"10.21275/v4i11.nov151494","DOIUrl":"https://doi.org/10.21275/v4i11.nov151494","url":null,"abstract":"We report a case of second gravida with one living issue with undiagnosed secondary abdominal pregnancy admitted in our hospital in shock. Screening USG showed a normal uterus with a live fetus of 16 week 2 days gestation lying in abdominal cavity. Emergency laparotomy done with extraction of fetus and placenta with left salpingectomy , with left partial oophorectomy, with left partial omentectomy. Beta HCG returned to normal after 3 weeks with complete resorption of placenta in USG in one month. This case stresses the importance of regular ante natal check up with early diagnosis and prompt management of abdominal pregnancy which otherwise may lead to maternal morbidity and mortality. implantations 1 . These are rare ectopic pregnancies with an estimated incidence of 1 in 10,000 to 25,000 live births. The overall mortality rate associated with abdominal pregnancy is 0.5 to 8.0% 2 . Delay in diagnosis is mainly due to difficulties in clinical assessment caused by variance in presentations. The treatment of secondary abdominal pregnancy is ultimately surgical. The surgical management of attached portions of placenta will always represent the major problem.","PeriodicalId":78668,"journal":{"name":"Rivista di ostetricia e ginecologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67939020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}