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Prolonged abdominal pregnancy incidentally discovered during cesarean section: a case report.
Diaouga, Hamidou Soumana; Yacouba, Maimouna Chaibou; Hissen, Tidjani Mahamat; Oumara, Maina; Bako, Inoussa Daouda; Garba, Rahamatou Madeleine; Idi, Nafiou; Nayama, Madi.
Afiliación
  • Diaouga HS; Department of Obstetrics and Gynecology, Abdou Moumouni University, Issaka Gazobi Maternity Hospital in Niamey, Niamey, Niger. hamidousoumana21@gmail.com.
  • Yacouba MC; Department of Obstetrics and Gynecology, Abdou Moumouni University, Issaka Gazobi Maternity Hospital in Niamey, Niamey, Niger.
  • Hissen TM; Department of Radiology, Abdou Moumouni University, General Reference Hospital, Niamey, Niger.
  • Oumara M; Department of Obstetrics Gynecology, Abdou Moumouni University, General Reference Hospital, Niamey, Niger.
  • Bako ID; Department of Radiology, Abdou Moumouni University, General Reference Hospital, Niamey, Niger.
  • Garba RM; Department of Obstetrics and Gynecology, Abdou Moumouni University, Issaka Gazobi Maternity Hospital in Niamey, Niamey, Niger.
  • Idi N; Department of Obstetrics and Gynecology, Abdou Moumouni University, Maternity Unit of the Regional Hospital Center of Niamey, Niamey, Niger.
  • Nayama M; Department of Obstetrics and Gynecology, Abdou Moumouni University, Issaka Gazobi Maternity Hospital in Niamey, Niamey, Niger.
BMC Pregnancy Childbirth ; 24(1): 182, 2024 Mar 07.
Article en En | MEDLINE | ID: mdl-38454394
ABSTRACT

BACKGROUND:

Abdominal pregnancy is a rare medical condition that is still missed in developing countries due to inadequate medical facilities. The clinical indicators manifest in various forms and are nonspecific, making it challenging to diagnose and often leading to delayed detection. However, obstetric ultrasound serves as an essential tool in early detection. Our objective was to share our experience dealing with this condition and emphasise the importance of early ultrasound diagnosis through efficient pregnancy monitoring in our regions. CASE PRESENTATION 35-year-old Black African woman who had ten months of amenorrhea sought consultation due to an absence of active foetal movements. Her pregnancy was of 39 weeks with fetal demise which was confirmed following clinical examination and ultrasound. She underwent cesarean section in view of transverse position of fetus. During cesarean section, the fetus was found within the abdominal cavity with the placenta attached over the left iliac fossa including surface of left ovary. The uterus and right adnexa were within normal limits. A 2600 g macerated fetus with placenta and membranes were extracted without any complications. The maternal outcome was successful.

CONCLUSIONS:

Abdominal pregnancy remained an inadequately diagnosed condition in developing countries. It is imperative to increase awareness among pregnant women regarding high-quality prenatal care, including early obstetric ultrasound, from conception. Meanwhile, healthcare professionals should receive continuous training and the technical platform modernised. To ensure accurate diagnosis, the location of the gestational sac must be identified for every pregnant woman during their initial ultrasound appointment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embarazo Abdominal / Embarazo Prolongado Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Níger Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embarazo Abdominal / Embarazo Prolongado Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Níger Pais de publicación: Reino Unido