A case report of an asymptomatic late term abdominal pregnancy with a live birth at 41 weeks of gestation

BMC Research Notes
Mercy Nkuba NassaliElly Musinguzi

Abstract

Despite advances in diagnostic imaging and focused antenatal care, cases of undiagnosed abdominal pregnancies at term are still reported in obstetric practice. It is atypical and very rare for a patient to be asymptomatic late in pregnancy and for the pregnancy to result in a live birth with no evidence of intrauterine growth restriction despite the unfavourable implantation site. This late term asymptomatic presentation despite routine antenatal care demonstrates a diagnostic challenge. We report a case of a 26 year old Primigravida with an asymptomatic and undiagnosed abdominal pregnancy carried beyond 41 weeks of gestation espite routine antenatal care and serial ultrasound reports. She presented for a routine antenatal care visit at 41 weeks of gestation. Induction of labour was initiated due to the late term gestation but was unsuccessful. At this point the fetus developed severe tachycardia and CTG confirmed persistent non-reassuring foetal heart rate patterns. The mother was then prepared for an emergency caesarean delivery. Abdominal pregnancy was only diagnosed at laparotomy where a term male baby weighing 3108 g was delivered with an Apgar Score of 7 and 8 at 1 and 5 min respectively. The placenta which was implanted ...Continue Reading

References

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Citations

Jun 18, 2016·Case Reports in Obstetrics and Gynecology·Gerald Okanandu UdigweAyodele Obianuju Okwuosa
Dec 15, 2017·BMJ Case Reports·Nuno MacielCarlos Ponte
Nov 5, 2017·BMC Veterinary Research·Francisco Marco-JiménezJosé Salvador Vicente
Jul 28, 2017·BMC Pregnancy and Childbirth·Fekade Getachew HailuWalelign Kindie Tsega
Mar 20, 2018·Archives of Gynecology and Obstetrics·Minakshi RohillaShalini Gainder
Nov 21, 2018·BMC Pregnancy and Childbirth·Sansan Rodrigue SibBlandine Bonané
Nov 26, 2019·The Pan African Medical Journal·Abderrahim SiatiAicha Kharbach
Mar 24, 2017·Case Reports in Obstetrics and Gynecology·Henri Donald MutarambirwaJovanny Tsuala Fouogue
Mar 6, 2021·Clinical Imaging·Widiastuti SoewondoEric Edwin Yuliantara

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