Term Abdominal Pregnancy with Live Baby;Case Report from St Padre Pio Hospital Akwa Nord Douala (August 2024)

作     者：Djlieukga K. Bernard Shang Cynthia Koubitim Jean Paul Emmanuel Ndame Jongwane Emmanuel Djlieukga K. Bernard;Shang Cynthia;Koubitim Jean Paul;Emmanuel Ndame;Jongwane Emmanuel

作者机构：Department of Obstetrics and Gynaecology St Padre Pio Hospital Douala Cameroon Department of Surgery St Padre Pio Hospital Douala Cameroon Department of Pediatrics St Padre Pio Hospital Douala Cameroon 

出 版 物：《Advances in Reproductive Sciences》 (生殖科学（英文）)

年 卷 期：2024年第12卷第4期

页      面：232-240页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：Abdominal Pregnancy Ectopic Pregnancy Term Live Baby Ultrasonography 

摘      要：In this report, we present a case of a term abdominal pregnancy managed in St Padre Pio Hospital Douala (Cameroon). The 28-year-old G2P1001 woman whom we received to our facility at 15 weeks gestation with an intrauterine pregnancy confirmed by ultrasonography. She returned at 21 weeks with a history of syncope and blood transfusion in another facility. An obstetrical ultrasonography done that day revealed a live fetus located at the upper right side within the peritoneal cavity. She continued with her routine Antenatal visits, and at each visit, an ultrasonography was done, revealing a slowly growing fetus. At 38 weeks, a laparotomy was carried out, and the live male baby weighing 2500 grammes was extracted. The placenta was implanted in the uterus;it was removed with minimal blood loss of approximately 400 mls. The mother was heamodynamically stable post-operatively. The newborn presented with mild cyanosis, an oxygen saturation of 80%, which resolved after 24 hours of oxygen administration. Both mother and baby were discharged from the hospital one week after laparotomy in a stable state. This case illustrates that intra-abdominal pregnancies, though rare and complex, can be managed to term and produce viable fetuses. Practitioners should, therefore, understand the challenges in its management.