TITLE:
Advanced Abdominal Ectopic Pregnancy: A Case Report
AUTHORS:
Okechukwu B. Anozie, Chidi U. O. Esike, Justus N. Eze, Emeka Onwe Oga, Mathew Igwe Nwali, Kennedy O. Otti
KEYWORDS:
Abdominal Pregnancy, Ectopic, Live Fetus, Methotrxate, Ultrasound and Placenta
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.6 No.6,
May
12,
2016
ABSTRACT: A 35-year-old unbooked gravida 6 para 5+0 woman with 4 living children,
who was unsure of her last menstrual period but she adjudged her index
pregnancy to be term. She presented to the emergency unit with six months
history of progressive weight loss, difficulty in breathing and abdominal pain
that suddenly got worse about two days prior to presentation after an attempted
external cephalic version by a traditional birth attendant. Ultrasound
diagnosed abdominal pregnancy. An emergency laparotomy revealed collapsed fetal
membranes with a rent of about 10 centimeters in diameter on the right and
straw-colored amniotic fluid of about 2 litres in peritoneal cavity. A live
male fetus was delivered with birth weight of 2.9 kilograms. The umbilical cord
was cut and tied short close to the placenta which was left in situ and methotrexate was given. Post
operative condition was satisfactory and patient had a brisk recovery. She was
adequately counseled and discharged home on
the 12th day after surgery and followed up subsequently.