Advanced Abdominal Pregnancy with Live Fetus in a Grand Multigravida: A Case Report from Gwadabawa, Sokoto State

Abdulrahman MM, Hassan L, Olatunji GL and Umar H

Sokoto State Hospital Service Management Board, Nigeria

^*Correspondance to: Muhammad Maiturare Abdulrahman 

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Abstract:

Background: Advanced abdominal pregnancy is a rare and life-threatening form of ectopic pregnancy where the fetus develops in the peritoneal cavity outside the uterus. The condition poses significant risks to both the mother and fetus, including severe hemorrhage, organ damage, and fetal demise. Case Report: We report the case of a 36-year-old grand multigravida (Gravida 11, Para 10) who presented with severe abdominal pain, vaginal bleeding, and a history of amenorrhea for six months. The initial diagnosis suggested a missed abortion complicated by severe anemia and pre- eclampsia. However, further investigation revealed an advanced abdominal pregnancy with a live fetus in the peritoneal cavity. The pregnancy was managed surgically, resulting in the delivery of a live male fetus who unfortunately died shortly after birth. The placenta was attached to the right cornua and was carefully removed. The mother made a full recovery and was discharged on the fourth postoperative day. Conclusion: This case highlights the importance of considering abdominal pregnancy in cases of advanced gestation with atypical presentations. Early diagnosis and appropriate surgical management are crucial for improving maternal outcomes

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Cite the Article:

Abdulrahman MM, Hassan L, Olatunji GL, Umar H. Advanced Abdominal Pregnancy with Live Fetus in a Grand Multigravida: A Case Report from Gwadabawa, Sokoto State. Clin Case Rep Int. 2024; 8: 1702.