Advanced abdominal ectopic pregnancy with alive fetus: a rare case report

Advanced abdominal ectopic pregnancy with alive fetus

Abstract

Introduction: Advanced abdominal ectopic pregnancy is a rare condition with grave consequences for both mother and fetus. Pre-operative diagnosis and management of advanced abdominal pregnancy is difficult. High index of suspicion is important for early diagnosis and prompt management. Though rare, we are reporting a case of advanced abdominal pregnancy with live newborn in Dr. RPGMC kangra at Tanda. Case Report:A 38 year old lady conceived after 17 years of marriage presented to the OPD with severe oligohydroamnios. She was admitted and after initial work up and ultrasound, she was diagnosed as precious pregnancy with breech presentation with bicornuate uterus with type IV placenta previa with severe oligohydroamnios. Patient planned for elective caesarean section. Intraoperatively it was an advanced abdominal pregnancy, there was a pseudosac containing fetus, and uterus was lying separately from the gestational sac. An alive female fetus of weight 2.7kg was delivered. A torrential haemorrhage started after separation of the placenta, though haemostasis achieved later on. Post-operative period was uneventful. Patient discharged on 10th day after surgery and followed up subsequently.