title: Secondary Advanced Abdominal Pregnancy after Suspected Ruptured Cornual Pregnancy with Good Maternal Outcome: A Case with Unusual Gangrenous Fetal Toes and Ultrasound Diagnoses Managed by Hysterectomy.
abstract: Incidence of abdominal pregnancy is accounting for 1.4% of all ectopic pregnancies. This is a rare case report of a 35-year-old multigravida who was presented to our hospital at 24 weeks of gestation with advanced live intraabdominal pregnancy diagnosed by ultrasound. The patient was followed up till 28 weeks in hospital for medicolegal viability in Egypt. Midline laparotomy was done, a live baby was delivered, and hysterectomy was done for attached placenta. Mother was discharged in good health, and baby was admitted in neonatal intensive care unit with no congenital anomalies and died after three weeks of sepsis. The management of advanced abdominal pregnancy remains controversial. Diagnosis and management of advanced abdominal pregnancy is still a challenge to today's medical world. But high index of suspicion aided with imaging studies can help in timely diagnosis, thereby preventing the associated life-threatening complications.
authors: Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt.
authors: Ahmed Samy
authors: AS
authors: El-Agwany
authors: Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt.
authors: El-Sayed
authors: el-S
authors: El-Badawy
authors: Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt.
authors: Ahmed
authors: A
authors: El-Habashy
authors: Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt.
authors: Hesham
authors: H
authors: El-Gammal
authors: Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt.
authors: Mahmoud
authors: M
authors: Abdelnaby
keywords: abdominal pregnancy; ectopic pregnancy; hysterectomy; laparotomy; preterm; ultrasound