Challenges in Diagnosis and Management of Second Trimester Omental Pregnancy in Limited Resource Settings: Case Report.
Journal
The East African health research journal
ISSN: 2520-5285
Titre abrégé: East Afr Health Res J
Pays: Burundi
ID NLM: 101713200
Informations de publication
Date de publication:
2022
2022
Historique:
received:
18
01
2021
accepted:
29
06
2022
medline:
1
1
2022
pubmed:
1
1
2022
entrez:
6
11
2023
Statut:
ppublish
Résumé
Abdominal pregnancies are a rare occurrence and are associated with high maternal and perinatal mortality rates compared to intra-uterine and other ectopic pregnancies. Localization of sites of abdominal pregnancies and determining the gestational age at the time of diagnosis play a fundamental role in guiding the treatment approach and minimizing potential complications. However, the vague presentation coupled with low accuracy of ultrasound detection often leads to misdiagnosis of abdominal pregnancy, and hence delaying initiation of appropriate management. We present a case of a second trimester abdominal pregnancy detected following failure of induction for an initial diagnosis of missed abortion, and the ensuing outcome, rarely reported in limited-resource settings. A 19 year old unbooked woman, gravida 2 para 1 at 17 This case demonstrates that the diagnosis of abdominal pregnancy remains a challenge especially in settings where skilled human resources for health are few and equipment and supplies for effective and timely treatment are limited. The case sheds some light on the broader challenges in maternal and perinatal health in developing countries. Accurate pre-operative diagnosis requires a high index of suspicion, especially due to the variability of its presentation. This case emphasises the important of quality antenatal care and the need for clinicians to conduct comprehensive assessments of patients and receive training on obstetric ultrasound skills.
Sections du résumé
Background
UNASSIGNED
Abdominal pregnancies are a rare occurrence and are associated with high maternal and perinatal mortality rates compared to intra-uterine and other ectopic pregnancies. Localization of sites of abdominal pregnancies and determining the gestational age at the time of diagnosis play a fundamental role in guiding the treatment approach and minimizing potential complications. However, the vague presentation coupled with low accuracy of ultrasound detection often leads to misdiagnosis of abdominal pregnancy, and hence delaying initiation of appropriate management. We present a case of a second trimester abdominal pregnancy detected following failure of induction for an initial diagnosis of missed abortion, and the ensuing outcome, rarely reported in limited-resource settings.
Case presentation
UNASSIGNED
A 19 year old unbooked woman, gravida 2 para 1 at 17
Conclusion
UNASSIGNED
This case demonstrates that the diagnosis of abdominal pregnancy remains a challenge especially in settings where skilled human resources for health are few and equipment and supplies for effective and timely treatment are limited. The case sheds some light on the broader challenges in maternal and perinatal health in developing countries. Accurate pre-operative diagnosis requires a high index of suspicion, especially due to the variability of its presentation. This case emphasises the important of quality antenatal care and the need for clinicians to conduct comprehensive assessments of patients and receive training on obstetric ultrasound skills.
Identifiants
pubmed: 37928869
doi: 10.24248/eahrj.v6i1.673
pii: eahrj.v6i1.673
pmc: PMC10624215
doi:
Types de publication
Case Reports
Langues
eng
Pagination
11-17Informations de copyright
© The East African Health Research Commission 2022.
Références
BMC Res Notes. 2016 Jan 19;9:31
pubmed: 26785887
Gynecol Obstet Invest. 2015;80(4):253-8
pubmed: 25924581
J Med Case Rep. 2015 Jul 28;9:168
pubmed: 26215563
Obstet Gynecol. 2007 Feb;109(2 Pt2):544-6
pubmed: 17267889
Ann Med Health Sci Res. 2013 Jan;3(1):113-5
pubmed: 23634344
Glob Health Action. 2016 Jul 22;9:31062
pubmed: 27452066
Cases J. 2009 Aug 07;2:8485
pubmed: 19918376
Hong Kong Med J. 2000 Dec;6(4):425-7
pubmed: 11177167
J Med Case Rep. 2015 Oct 08;9:228
pubmed: 26446132
Am J Epidemiol. 2003 Feb 1;157(3):185-94
pubmed: 12543617
Niger J Clin Pract. 2005 Jun;8(1):43-5
pubmed: 16392455
Obstet Gynecol. 1987 Mar;69(3 Pt 1):333-7
pubmed: 3822281
J Clin Ultrasound. 1981 Sep;9(7):383-7
pubmed: 6792237
Ultrasound Obstet Gynecol. 2003 Feb;21(2):192-4
pubmed: 12601846
Am J Emerg Med. 2014 Oct;32(10):1299.e3-4
pubmed: 24768335
Soc Sci Med. 1994 Apr;38(8):1091-110
pubmed: 8042057
J Med Case Rep. 2011 Oct 31;5:531
pubmed: 22040324
Gynecol Obstet Invest. 2012;74(4):249-60
pubmed: 23108297
BMC Pregnancy Childbirth. 2019 Nov 12;19(1):415
pubmed: 31718586
Obstet Gynecol. 2004 May;103(5 Pt 2):1064-8
pubmed: 15121609
BMC Pregnancy Childbirth. 2018 Nov 19;18(1):448
pubmed: 30453918
J Womens Health (Larchmt). 2010 Jul;19(7):1369-75
pubmed: 20509789
Obstet Gynecol. 1982 Aug;60(2):200-4
pubmed: 7155482
Hum Reprod. 2002 Dec;17(12):3224-30
pubmed: 12456628
J Med Case Rep. 2017 Jul 24;11(1):199
pubmed: 28735570
PLoS One. 2021 Apr 6;16(4):e0249337
pubmed: 33822797
Geburtshilfe Frauenheilkd. 2020 Jul;80(7):686-701
pubmed: 32675831
J Reprod Med. 2002 Oct;47(10):861-3
pubmed: 12418072
Ghana Med J. 2011 Jun;45(2):81-3
pubmed: 21857726
J Reprod Med. 2003 Jun;48(6):479-81
pubmed: 12856525
BMC Pregnancy Childbirth. 2020 Apr 22;20(1):238
pubmed: 32321457
Hum Reprod. 2005 Mar;20(3):807-9
pubmed: 15640259
Fertil Steril. 2005 Apr;83(4):1042
pubmed: 15820824
Ultrasound Obstet Gynecol. 2007 Jul;30(1):1-7
pubmed: 17587215