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Case Reports in Obstetrics and Gynecology
Volume 2017 (2017), Article ID 4096783, 4 pages
https://doi.org/10.1155/2017/4096783
Case Report

Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area

1Saint Vincent de Paul Catholic Hospital, Dschang, Cameroon
2Gynecology and Obstetrics Unit, Dschang District Hospital and University of Dschang, Dschang, Cameroon
3Mbouda District Hospital, Mbouda, Cameroon
4Geneva University Hospitals, Geneva, Switzerland

Correspondence should be addressed to Henri Donald Mutarambirwa

Received 7 December 2016; Accepted 29 January 2017; Published 26 February 2017

Academic Editor: Svein Rasmussen

Copyright © 2017 Henri Donald Mutarambirwa 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 (AP) accounts for 1% of ectopic implantations. In sub-Saharan Africa, the high prevalence of sexually transmitted infections explains the increasing frequency of this pathology. In Cameroon it rose from 1/10000 deliveries (1995) to 3.3/10000 (2015). Authors herein report a case of a viable abdominal pregnancy discovered at term during emergency laparotomy for suspected uterine rupture. The 24-year-old G2P0 patient was HIV-positive, under antiretrovirals, though AP exceptionally occurs in HIV patients. She did only two antenatal consultations: her main complaint was abdominal pain but five echographies concluded to normal intrauterine pregnancy. Findings at laparotomy were as follows: amnioperitoneum, a live female baby weighing 3.4 kilogrammes without deformities and a placenta deeply inserted on the uterine fundus. Removal of the placenta triggered massive bleeding (2400 milliliters) with shock managed with a tourniquet on the lower uterine segment and fluid resuscitation. Outcome was favourable for the mother and child. Prevention of vertical transmission of HIV was successful with antiretroviral therapy.