Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2014, Article ID 102479, 3 pages
http://dx.doi.org/10.1155/2014/102479
Case Report

Advanced Extrauterine Pregnancy at 33 Weeks with a Healthy Newborn

Department of Obstetrics and Gynecology, Bronx Lebanon Hospital, Bronx, NY, USA

Received 14 October 2014; Accepted 24 November 2014; Published 3 December 2014

Academic Editor: John P. Geisler

Copyright © 2014 Tajudeen Dabiri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Abdominal pregnancy is a very rare form of ectopic pregnancy, associated with high morbidity and mortality for both fetus and mother. It is, and often, seen in poor resource nations, where early diagnosis is often a major challenge due to poor prenatal care and lack of medical resources. An advanced abdominal pregnancy with a good fetal and maternal outcome is therefore a more extraordinary occurrence in the modern developed world. We present a case of an abdominal pregnancy at 33.4 weeks in an individual with no documented prenatal care, who arrived in a hospital in the Bronx, in June 25th 2014, with symptoms of generalized, severe lower abdominal pain. Upon examination it was found that due to category III fetal tracing an emergent cesarean section was performed. At the time of laparotomy the fetus was located in the pelvis covered by the uterine serosa, with distortion of the entire right adnexa and invasion to the right parametrium. The placenta invaded the pouch of Douglas and the lower part of the sigmoid colon. A massive hemorrhage followed, followed by a supracervical hysterectomy. A viable infant was delivered and mother discharged on postoperative day 4.