Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed Diagnosis
Background. There are increasing reports of term live abdominal pregnancies even though the diagnosis of abdominal pregnancy is made preoperatively only in 45% of cases which partly explains the high maternal and perinatal morbidity and mortality associated with abdominal pregnancy. Case Report. We...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/4171604 |
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| author | Ascensius Achuo Mforteh Collince Tchakounte Carlson-Babila Sama Stephane Eteme-Messi Willy Djiognouo Sama Dohbit Pascal Foumane |
| author_facet | Ascensius Achuo Mforteh Collince Tchakounte Carlson-Babila Sama Stephane Eteme-Messi Willy Djiognouo Sama Dohbit Pascal Foumane |
| author_sort | Ascensius Achuo Mforteh |
| collection | DOAJ |
| description | Background. There are increasing reports of term live abdominal pregnancies even though the diagnosis of abdominal pregnancy is made preoperatively only in 45% of cases which partly explains the high maternal and perinatal morbidity and mortality associated with abdominal pregnancy. Case Report. We report a rare case of misdiagnosed term abdominal pregnancy complicated by fetal demise due to cord round neck in a 29-year-old G3P2002 at 39-week and 1-day gestation. She noticed reduced fetal movements for which upon examination fetal death was diagnosed. Cervical ripening was started which eventually failed, and surgery was indicated. Findings were an abdominal pregnancy with a third-degree macerated fetus with cord round neck. She was discharged on day 8 postoperation to continue follow-up as an outpatient with regular βHCG and ultrasound checks. Conclusion. This case illustrates the need to effectively confirm an intrauterine location of a pregnancy even in a case of fetal demise and the need to monitor for cord abnormalities in advanced abdominal pregnancy being managed expectantly. |
| format | Article |
| id | doaj-art-c62aaa459f7447f58716b2db761d40c4 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-c62aaa459f7447f58716b2db761d40c42025-02-03T06:10:52ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/41716044171604Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed DiagnosisAscensius Achuo Mforteh0Collince Tchakounte1Carlson-Babila Sama2Stephane Eteme-Messi3Willy Djiognouo4Sama Dohbit5Pascal Foumane6Department of Obstetrics and Gynecology, University of Yaoundé 1, Yaoundé, CameroonHopital Saint Jean de Malte, Njombe, CameroonInstitute of Global Health, University College London, London, UKDepartment of Obstetrics and Gynecology, University of Yaoundé 1, Yaoundé, CameroonHopital Saint Jean de Malte, Njombe, CameroonDepartment of Obstetrics and Gynecology, University of Yaoundé 1, Yaoundé, CameroonDepartment of Obstetrics and Gynecology, University of Yaoundé 1, Yaoundé, CameroonBackground. There are increasing reports of term live abdominal pregnancies even though the diagnosis of abdominal pregnancy is made preoperatively only in 45% of cases which partly explains the high maternal and perinatal morbidity and mortality associated with abdominal pregnancy. Case Report. We report a rare case of misdiagnosed term abdominal pregnancy complicated by fetal demise due to cord round neck in a 29-year-old G3P2002 at 39-week and 1-day gestation. She noticed reduced fetal movements for which upon examination fetal death was diagnosed. Cervical ripening was started which eventually failed, and surgery was indicated. Findings were an abdominal pregnancy with a third-degree macerated fetus with cord round neck. She was discharged on day 8 postoperation to continue follow-up as an outpatient with regular βHCG and ultrasound checks. Conclusion. This case illustrates the need to effectively confirm an intrauterine location of a pregnancy even in a case of fetal demise and the need to monitor for cord abnormalities in advanced abdominal pregnancy being managed expectantly.http://dx.doi.org/10.1155/2018/4171604 |
| spellingShingle | Ascensius Achuo Mforteh Collince Tchakounte Carlson-Babila Sama Stephane Eteme-Messi Willy Djiognouo Sama Dohbit Pascal Foumane Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed Diagnosis Case Reports in Obstetrics and Gynecology |
| title | Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed Diagnosis |
| title_full | Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed Diagnosis |
| title_fullStr | Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed Diagnosis |
| title_full_unstemmed | Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed Diagnosis |
| title_short | Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed Diagnosis |
| title_sort | induction of labour in advanced abdominal pregnancy with fetal demise due to cord round neck a case report of a missed diagnosis |
| url | http://dx.doi.org/10.1155/2018/4171604 |
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