Advanced Abdominal Pregnancy in a Diabetic Multipara- is Delivery of the Placenta Always a Problem? A Case Report

GU Eleje, IU Ezebialu, BC Okpala, VE Okolie, OA Onyegbule

Abstract


Introduction: Abdominal pregnancy is a comparatively
rare type of ectopic gestation with a high fetal and maternal
morbidity and mortality. Although this entity had been well
documented, it still remains a serious dilemma for most
obstetricians in practice because of the difficulties in early
diagnosis and proper management. The occurrence in a
diabetic woman could make management even more
complex.
Objective: This is to report a case of advanced abdominal
pregnancy occurring in a diabetic multipara.
Method: A case report of abdominal pregnancy in a
diabetic multipara who was referred to the Nnamdi Azikiwe
University Teaching Hospital, Nnewi and relevant review of
literature.
Result: Following a laparotomy, the baby was delivered,
and placenta completely removed.
Conclusion: The delivery of the placenta following an
abdominal pregnancy may not pose a problem in some
patients. Appropriate pre-operative diagnosis and timed
intervention is recommended.


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