Advanced Abdominal Pregnancy of 32 Weeks with Alive Baby: A Rare Event

A. Malik
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Abstract

Background: Abdominal pregnancy is a rare form of ectopic or extrauterine pregnancy with an incidence of 1:10000 and 1:30000. Advanced abdominal pregnancy is extremely rare with high maternal and perinatal mortality. Case Presentation: We report a case of abdominal pregnancy at 32 weeks gestation with persistent abdominal pain and severe anemia, who was referred from another hospital to our center with an Ultrasonogram, missed the diagnosis of abdominal pregnancy, which was confirmed in our center as abdominal pregnancy at 32 weeks with live fetus. With laparotomy a 1.2 kg female baby was born without much difficulty and post operative recovery was uneventful. But the baby died at 27Th post operative day. Conclusion: High index of clinical suspicion is necessary for early diagnosis of abdominal pregnancy and timely laparotomy with multidisciplinary surgical team can save the life of a mother. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 76-78
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32周高龄腹孕并存活婴儿:罕见事件
背景:腹式妊娠是一种罕见的异位或宫外妊娠,发生率为1:10000和1:30000。晚期腹部妊娠是极其罕见的高孕产妇和围产期死亡率。病例介绍:我们报告一例妊娠32周腹部妊娠,伴有持续腹痛和严重贫血,经外院超声检查转介至我中心,漏诊腹部妊娠,经我中心确诊为32周腹部妊娠,胎儿活产。经剖腹手术,一名体重1.2公斤的女婴顺利出生,术后恢复顺利。但婴儿在术后第27天死亡。结论:高临床怀疑指数对腹部妊娠的早期诊断是必要的,多学科手术团队的及时开腹手术可以挽救母亲的生命。上海医科大学医学院;工程系(1);2023年1月;页76 - 78
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