title: Viable abdominal pregnancy: a case report in Yaoundé (Cameroon).
abstract: We herein report a case of abdominal pregnancy managed in Yaounde (Cameroon). The 33 year old G5P2022 woman was referred to our setting for management of an abdominal pregnancy of 34 weeks diagnosed during the first routine obstetrical ultrasonography done two days earlier. This ultrasonography revealed a live foetus within intestinal loops with a severe oligoamnios. After two days of lung maturation, laparotomy was carried out and the live male baby weighed 2 600 grammes. The placenta was left on its implantation sites: omentun, uterine fundus and intestinal loops. The mother did well post-operatively and the resorption of the placenta took 11 months. The newborn presented compression deformities and died three days later of respiratory distress. This case illustrates that intra-abdominal fetuses can reach viability. Though rare, abdominal pregnancy remains a threat to mothers. Practitioners should therefore know the traps in its management.
authors.affiliation: Department of Obstetrics and Gynaecology, Yaounde Central Hospital, Yaoundé, Cameroon.
authors.forename: Florent Ymele
authors.initials: FY
authors.lastname: Fouelifack
authors.affiliation: Department of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaoundé, Cameroon.
authors.forename: Jovanny Tsuala
authors.initials: JT
authors.lastname: Fouogue
authors.affiliation: Department of Obstetrics and Gynaecology, Yaounde Central Hospital, Yaoundé, Cameroon ; Department of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaoundé, Cameroon.
authors.forename: Jeanne Hortence
authors.initials: JH
authors.lastname: Fouedjio
authors.affiliation: Head of the Pathology Unit, Yaounde Gynaeco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon.
authors.forename: Zacharie
authors.initials: Z
authors.lastname: Sando
mesh_terms: D000328:Adult; D057210:Delayed Diagnosis; D017809:Fatal Outcome; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases; D007813:Laparotomy; D008297:Male; D000292:Pelvic Inflammatory Disease; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D011274:Pregnancy, Tubal; D017584:Reproductive History; D012127:Respiratory Distress Syndrome, Newborn; D012307:Risk Factors; D058994:Salpingectomy; D016216:Ultrasonography, Prenatal
keywords: Abdominal pregnancy; Cameroon; ectopic pregnancy; viable