Advanced secondary abdominal pregnancy: a case report

Teresa A. Mensah; Alex K.  Boateng; Kwaku Doffour-Dapaah; Isaac Erskine; Samuel A. Oppong; Jerry Coleman; Alim Swarray-Deen

doi:10.46829/hsijournal.2023.12.4.2.572-576

Teresa A. Mensah Department of Obstetrics & Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana
Alex K. Boateng Department of Obstetrics & Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana
Kwaku Doffour-Dapaah Department of Obstetrics & Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana
Isaac Erskine Department of Pathology, Korle Bu Teaching Hospital, Accra, Ghana;
Samuel A. Oppong Department of Obstetrics & Gynaecology, College of Health sciences, University of Ghana Medical School, Accra, Ghana
Jerry Coleman Department of Obstetrics & Gynaecology, College of Health Sciences, University of Ghana Medical School, Accra, Ghana
Alim Swarray-Deen Department of Obstetrics & Gynaecology, College of Health Sciences, University of Ghana Medical School, Accra, Ghana

DOI: https://doi.org/10.46829/hsijournal.2023.12.4.2.572-576

Keywords: abdominal pregnancy, ectopic pregnancy, hemoperitoneum, laparotomy, ultrasound

Abstract

Background: Abdominal pregnancy, although a rare condition, has life-threatening consequences. This case report aims to expose the clinical and diagnostic challenges encountered in its management. We report a case of a 28-year-old gravida 2, para 1 woman, 35 weeks pregnant, who presented to Korle Bu Teaching Hospital with generalised abdominal pain and an ultrasound indicating a major-degree placenta previa.
A repeat ultrasound assessment identified a viable abdominal pregnancy with the placenta attached to the uterine fundus. An emergency hysterectomy was done on account of a massive haemorrhage after the delivery of a live female foetus.