TITLE:
Challenges in the Management of a Case of Secondary Abdominal Pregnancy
AUTHORS:
Alpana Singh, Vandana Mishra, Yashika Motwani, Pragati Meena
KEYWORDS:
Secondary Abdominal Pregnancy, Uterus
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.11,
September
28,
2015
ABSTRACT: Introduction:
Abdominal pregnancy, one of the rare forms of ectopic pregnancy demands a high
index of suspicion for its timely diagnosis and intervention so as to prevent
both maternal and neonatal complications. We presented a case of secondary
abdominal pregnancy which was missed at the first instance at a private centre
and came to us with nonspecific abdominal symptoms after an attempted
termination of pregnancy by surgical means (dilation and curettage). Case
presentation: A 24-year-old third gravida with two live issues at 10-week gestation
came to us with complaints of pain lower abdomen, vomiting and inability to
pass stool. She gave history of undergoing dilation and curettage (D&C) at
a private hospital for termination of pregnancy about 20 days back. After
thorough work-up and investigations, the diagnosis of secondary abdominal
pregnancy was established and she was taken up for exploratory laparotomy with
the removal of fetus with placenta. The patient progressed well with the
postoperative period remaining uneventful. Conclusion: Secondary abdominal
pregnancy poses as a challenge to clinicians working with limited diagnostic
facilities. The condition may be life threatening if not handled meticulously.