Background: An abdominal pregnancy is a rare condition with high morbidity and mortality. Unlike most other ectopic pregnancies, it has a unique potential to progress to fetal viability. Reports abound of live births following spontaneously-conceived abdominal pregnancies but same cannot be said of those conceived via In vitro fertilization/Embryo transfer (IVF/ET). We report a case of an undiagnosed abdominal pregnancy following IVF/ET, which resulted in a live birth. Case presentation: A 50-year-old booked Gravida 2 Para 0 +1 lady with an IVF pregnancy was admitted at 28 weeks gestation based on complaints of vague abdominal pains. All Ultrasound scans performed prior to and after admission reported the pregnancy as intrauterine. While on admission, she developed preeclampsia which became severe necessitating an urgent abdominal delivery at 34 weeks. The ‘urgent caesarean section’ eventually became a laparotomy. A live female fetus weighing 2.4kg was extracted from the peritoneal cavity. The placenta which was implanted mainly on the omentum was resected and removed. Both the mother and her baby were discharged home in good conditions. Conclusion: An Abdominal pregnancy may occur following IVF/ET and be missed during antenatal care despite repeated ultrasound examinations. Clinicians must maintain a high index of suspicion for its occurrence.
| Published in | Journal of Gynecology and Obstetrics (Volume 4, Issue 1) |
| DOI | 10.11648/j.jgo.20160401.11 |
| Page(s) | 1-6 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2016. Published by Science Publishing Group |
Ectopic Pregnancy, Assisted Conception, Ultrasound Scan, Abdominal Pain, Laparotomy, Placenta, Omentum, Live Fetus, Ivf/Et
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APA Style
Osato Giwa-Osagie, Benedict Ekaidem, Bobo Kayode, Bolanle Are, Philomena Aisagbohni, et al. (2016). Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report. Journal of Gynecology and Obstetrics, 4(1), 1-6. https://doi.org/10.11648/j.jgo.20160401.11
ACS Style
Osato Giwa-Osagie; Benedict Ekaidem; Bobo Kayode; Bolanle Are; Philomena Aisagbohni, et al. Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report. J. Gynecol. Obstet. 2016, 4(1), 1-6. doi: 10.11648/j.jgo.20160401.11
AMA Style
Osato Giwa-Osagie, Benedict Ekaidem, Bobo Kayode, Bolanle Are, Philomena Aisagbohni, et al. Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report. J Gynecol Obstet. 2016;4(1):1-6. doi: 10.11648/j.jgo.20160401.11
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Download@article{10.11648/j.jgo.20160401.11,
author = {Osato Giwa-Osagie and Benedict Ekaidem and Bobo Kayode and Bolanle Are and Philomena Aisagbohni and Charles Oniha},
title = {Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report},
journal = {Journal of Gynecology and Obstetrics},
volume = {4},
number = {1},
pages = {1-6},
doi = {10.11648/j.jgo.20160401.11},
url = {https://doi.org/10.11648/j.jgo.20160401.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20160401.11},
abstract = {Background: An abdominal pregnancy is a rare condition with high morbidity and mortality. Unlike most other ectopic pregnancies, it has a unique potential to progress to fetal viability. Reports abound of live births following spontaneously-conceived abdominal pregnancies but same cannot be said of those conceived via In vitro fertilization/Embryo transfer (IVF/ET). We report a case of an undiagnosed abdominal pregnancy following IVF/ET, which resulted in a live birth. Case presentation: A 50-year-old booked Gravida 2 Para 0 +1 lady with an IVF pregnancy was admitted at 28 weeks gestation based on complaints of vague abdominal pains. All Ultrasound scans performed prior to and after admission reported the pregnancy as intrauterine. While on admission, she developed preeclampsia which became severe necessitating an urgent abdominal delivery at 34 weeks. The ‘urgent caesarean section’ eventually became a laparotomy. A live female fetus weighing 2.4kg was extracted from the peritoneal cavity. The placenta which was implanted mainly on the omentum was resected and removed. Both the mother and her baby were discharged home in good conditions. Conclusion: An Abdominal pregnancy may occur following IVF/ET and be missed during antenatal care despite repeated ultrasound examinations. Clinicians must maintain a high index of suspicion for its occurrence.},
year = {2016}
}
TY - JOUR T1 - Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report AU - Osato Giwa-Osagie AU - Benedict Ekaidem AU - Bobo Kayode AU - Bolanle Are AU - Philomena Aisagbohni AU - Charles Oniha Y1 - 2016/01/27 PY - 2016 N1 - https://doi.org/10.11648/j.jgo.20160401.11 DO - 10.11648/j.jgo.20160401.11 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 1 EP - 6 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20160401.11 AB - Background: An abdominal pregnancy is a rare condition with high morbidity and mortality. Unlike most other ectopic pregnancies, it has a unique potential to progress to fetal viability. Reports abound of live births following spontaneously-conceived abdominal pregnancies but same cannot be said of those conceived via In vitro fertilization/Embryo transfer (IVF/ET). We report a case of an undiagnosed abdominal pregnancy following IVF/ET, which resulted in a live birth. Case presentation: A 50-year-old booked Gravida 2 Para 0 +1 lady with an IVF pregnancy was admitted at 28 weeks gestation based on complaints of vague abdominal pains. All Ultrasound scans performed prior to and after admission reported the pregnancy as intrauterine. While on admission, she developed preeclampsia which became severe necessitating an urgent abdominal delivery at 34 weeks. The ‘urgent caesarean section’ eventually became a laparotomy. A live female fetus weighing 2.4kg was extracted from the peritoneal cavity. The placenta which was implanted mainly on the omentum was resected and removed. Both the mother and her baby were discharged home in good conditions. Conclusion: An Abdominal pregnancy may occur following IVF/ET and be missed during antenatal care despite repeated ultrasound examinations. Clinicians must maintain a high index of suspicion for its occurrence. VL - 4 IS - 1 ER -
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