title: Full-term abdominal extrauterine pregnancy complicated by post-operative ascites with successful outcome: a case report.
abstract: BACKGROUND
  Advanced abdominal (extrauterine) pregnancy is a rare condition with high maternal and fetal morbidity and mortality. Because the placentation in advanced abdominal pregnancy is presumed to be inadequate, advanced abdominal pregnancy can be complicated by pre-eclampsia, which is another condition with high maternal and perinatal morbidity and mortality. Diagnosis and management of advanced abdominal pregnancy is difficult.
  
  
  METHODS
  We present the case of a 33-year-old African woman in her first pregnancy who had a full-term advanced abdominal pregnancy and developed gross ascites post-operatively. The patient was successfully managed; both the patient and her baby are apparently doing well.
  
  
  CONCLUSIONS
  Because most diagnoses of advanced abdominal pregnancy are missed pre-operatively, even with the use of sonography, the cornerstones of successful management seem to be quick intra-operative recognition, surgical skill, ready access to blood products, meticulous post-operative care and thorough assessment of the newborn.
authors.affiliation: Department of Obstetrics and Gynaecology, Mpilo Central Hospital, Bulawayo, Zimbabwe. parturitions@gmail.com.
authors.forename: Gwinyai
authors.initials: G
authors.lastname: Masukume
authors.forename: Elton
authors.initials: E
authors.lastname: Sengurayi
authors.forename: Alfred
authors.initials: A
authors.lastname: Muchara
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Mucheni
authors.forename: Wedu
authors.initials: W
authors.lastname: Ndebele
authors.forename: Solwayo
authors.initials: S
authors.lastname: Ngwenya