Shurie Sahara, Ogot John, Poli Philippe, Were Edwin
Department of Reproductive Health, College of Health Sciences Moi University, Eldoret, Kenya.
Pan Afr Med J. 2018 Dec 20;31:239. doi: 10.11604/pamj.2018.31.239.17766. eCollection 2018.
Abdominal pregnancy is a rare form of ectopic pregnancy, occurring in 1: 10,000 to 1: 30,000 pregnancies and accounting for up to 1.4% of all ectopic pregnancies. It is classified as primary or secondary depending on the site of fertilization. However, when it does happen, it may remain unnoticed until term because the pregnancy can appear normal during clinical examination. Advanced abdominal pregnancy is associated with high mortality rate for both the mother and the baby at 1-20% and 40-95% respectively. We report a case of a 30-year-old female para 2+0, gravida 3 at 35 who presented at a Tertiary facility in Eldoret Kenya with one-day history of per vaginal bleeding and 2 weeks' history of no fetal movements. The importance of this case report is to highlight the challenges associated with diagnosis of advanced abdominal pregnancy in low resource settings. Ultrasound alone cannot be relied on to make the diagnosis. Whenever an induction is not working, abdominal pregnancy should be considered.
腹腔妊娠是一种罕见的异位妊娠形式，发生率为1:10000至1:30000次妊娠，占所有异位妊娠的1.4%。根据受精部位，它可分为原发性或继发性。然而，当它确实发生时，可能直到足月才被发现，因为在临床检查期间妊娠可能看起来正常。晚期腹腔妊娠对母亲和婴儿的死亡率都很高，分别为1%-20%和40%-95%。我们报告一例30岁经产2次、妊娠3次的女性，孕35周，因阴道出血1天和无胎动2周就诊于肯尼亚埃尔多雷特的一家三级医疗机构。本病例报告的重要性在于强调在资源匮乏地区诊断晚期腹腔妊娠所面临的挑战。不能仅依靠超声进行诊断。每当引产无效时，应考虑腹腔妊娠。
