Term Abdominal Pregnancy Revealed byAmnioperitoneumin Rural Area.
Abdominal pregnancy (AP) accounts for 1% of ectopic implantations. In sub-Saharan Africa, the high prevalence of sexually transmitted infections explains the increasing frequency of this pathology. In Cameroon it rose from 1/10000 deliveries (1995) to 3.3/10000 (2015). Authors herein report a case of a viable abdominal pregnancy discovered at term during emergency laparotomy for suspected uterine rupture. The 24-year-old G2P0 patient was HIV-positive, under antiretrovirals, though AP exceptionally occurs in HIV patients. She did only two antenatal consultations: her main complaint was abdominal pain but five echographies concluded to normal intrauterine pregnancy. Findings at laparotomy were as follows:amnioperitoneum,a live female baby weighing 3.4 kilogrammes without deformities and a placenta deeply inserted on the uterine fundus. Removal of the placenta triggered massive bleeding (2400 milliliters) with shock managed with a tourniquet on the lower uterine segment and fluid resuscitation. Outcome was favourable for the mother and child. Prevention of vertical transmission of HIV was successful with antiretroviral therapy.
Saint Vincent de Paul Catholic Hospital, Dschang, Cameroon.
Henri Donald
0000-0002-3405-5865
HD
Mutarambirwa
Gynecology and Obstetrics Unit, Dschang District Hospital and University of Dschang, Dschang, Cameroon.
Bruno
B
Kenfack
Mbouda District Hospital, Mbouda, Cameroon; Geneva University Hospitals, Geneva, Switzerland.
Jovanny Tsuala
0000-0003-0055-0902
JT
Fouogue