Гинекология и акушерство

Гинекология и акушерство
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ISSN: 2161-0932


Antepartum Hemorrhage as Unusual Presentation of Advanced Abdominal Pregnancy

Temesgen Tilahun Bekabil and Urgessa Soressa Geleta

Abdominal pregnancy carries higher maternal morbidity and mortality both in developed and developing countries particularly in resource limited settings. Its diagnosis is usually missed during antenatal care despite the routine use of abdominal ultrasonography. This case is presented to show that antepartum haemorrhage, one of antenatal complications of intrauterine pregnancy, can be the presenting clinical condition in advanced abdominal pregnancy and to demonstrate the continuing difficulty in diagnosing this rare but serious condition despite advances in obstetric care. The case also demonstrates how management of advanced abdominal pregnancy, particularly delivery of placenta, is difficult. In conclusion, it is important to have high index of suspicion of advanced abdominal pregnancy when antepartum haemorrhage is presented with other clinical clues of abdominal pregnancy due to the
fact that making preoperative diagnosis of this form of pregnancy helps the managing team to be ready for grave complications of abdominal pregnancy at laparotomy and subsequently.