Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area
Abdominal pregnancy (AP) accounts for 1% of ectopic implantations. In sub-Saharan Africa, the high prevalence of sexually transmitted infections explains the increasing frequency of this pathology. In Cameroon it rose from 1/10000 deliveries (1995) to 3.3/10000 (2015). Authors herein report a case o...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2017/4096783 |
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| author | Henri Donald Mutarambirwa Bruno Kenfack Jovanny Tsuala Fouogue |
| author_facet | Henri Donald Mutarambirwa Bruno Kenfack Jovanny Tsuala Fouogue |
| author_sort | Henri Donald Mutarambirwa |
| collection | DOAJ |
| description | Abdominal pregnancy (AP) accounts for 1% of ectopic implantations. In sub-Saharan Africa, the high prevalence of sexually transmitted infections explains the increasing frequency of this pathology. In Cameroon it rose from 1/10000 deliveries (1995) to 3.3/10000 (2015). Authors herein report a case of a viable abdominal pregnancy discovered at term during emergency laparotomy for suspected uterine rupture. The 24-year-old G2P0 patient was HIV-positive, under antiretrovirals, though AP exceptionally occurs in HIV patients. She did only two antenatal consultations: her main complaint was abdominal pain but five echographies concluded to normal intrauterine pregnancy. Findings at laparotomy were as follows: amnioperitoneum, a live female baby weighing 3.4 kilogrammes without deformities and a placenta deeply inserted on the uterine fundus. Removal of the placenta triggered massive bleeding (2400 milliliters) with shock managed with a tourniquet on the lower uterine segment and fluid resuscitation. Outcome was favourable for the mother and child. Prevention of vertical transmission of HIV was successful with antiretroviral therapy. |
| format | Article |
| id | doaj-art-bf8086d525524b6191998874fcbb2ea7 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-bf8086d525524b6191998874fcbb2ea72025-02-03T01:09:08ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/40967834096783Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural AreaHenri Donald Mutarambirwa0Bruno Kenfack1Jovanny Tsuala Fouogue2Saint Vincent de Paul Catholic Hospital, Dschang, CameroonGynecology and Obstetrics Unit, Dschang District Hospital and University of Dschang, Dschang, CameroonMbouda District Hospital, Mbouda, CameroonAbdominal pregnancy (AP) accounts for 1% of ectopic implantations. In sub-Saharan Africa, the high prevalence of sexually transmitted infections explains the increasing frequency of this pathology. In Cameroon it rose from 1/10000 deliveries (1995) to 3.3/10000 (2015). Authors herein report a case of a viable abdominal pregnancy discovered at term during emergency laparotomy for suspected uterine rupture. The 24-year-old G2P0 patient was HIV-positive, under antiretrovirals, though AP exceptionally occurs in HIV patients. She did only two antenatal consultations: her main complaint was abdominal pain but five echographies concluded to normal intrauterine pregnancy. Findings at laparotomy were as follows: amnioperitoneum, a live female baby weighing 3.4 kilogrammes without deformities and a placenta deeply inserted on the uterine fundus. Removal of the placenta triggered massive bleeding (2400 milliliters) with shock managed with a tourniquet on the lower uterine segment and fluid resuscitation. Outcome was favourable for the mother and child. Prevention of vertical transmission of HIV was successful with antiretroviral therapy.http://dx.doi.org/10.1155/2017/4096783 |
| spellingShingle | Henri Donald Mutarambirwa Bruno Kenfack Jovanny Tsuala Fouogue Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area Case Reports in Obstetrics and Gynecology |
| title | Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area |
| title_full | Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area |
| title_fullStr | Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area |
| title_full_unstemmed | Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area |
| title_short | Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area |
| title_sort | term abdominal pregnancy revealed by amnioperitoneum in rural area |
| url | http://dx.doi.org/10.1155/2017/4096783 |
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