TITLE:
Abdominal Pregnancy with Hemorrhagic Placenta: About a Case at the Mother and Child Health Center of Zinder
AUTHORS:
Souleymane Oumarou Garba, Maina Oumara, Zélika Salifou Lankoande, Issa Abdou Amadou, Hassane Laoul, Nabara Ibrahim, H. Adamou, Madi Nayama
KEYWORDS:
Abdominal Pregnancy, Hemorrhagic Placenta, CSME, Zinder
JOURNAL NAME:
Surgical Science,
Vol.14 No.2,
February
13,
2023
ABSTRACT: Background: In developing countries maternal mortality and morbidity are most often
due to the late to consult, poverty and ignorance. Added to this is, the
under-medicalization of the health system. The objective of study is to report
a case of late consultation and its consequences and make recommendations to
improve: case of abdominal pregnancy with hemorrhagic placenta at the Health and Mother Center (CSME) in
Zinder/Niger. Clinical Observation: We describe a case of
abdominal pregnancy with hemorrhagic placenta in a 24-year-old woman,
without profession, resident in the city of Zinder with a low economic level,
consulted for abdomino-pelvic pain. She had a notion of amenorrhea for 5 months
without any consultation made. She was pale,
feverish and had abdominal pain. Ultrasound revealed a 23-week-old fetus
and an empty uterus. The diagnosis was abdominal pregnancy. A laparotomy was
performed and a The morbidity was hysterectomy and anemia. The postoperative
period course was complicated with anemia. The patient was cured on the 9th day
with a good vital prognosis. Conclusion: Abdominal pregnancy occurred in a patient who
presented a risk factor. Ultrasound was the key diagnostic test. Surgery was
the treatment of choice and the prognosis depends on the earliness of the
consultation. Community awareness and early consultation
with health services can improve the prognosis of abdominal pregnancy.