A case of advanced non-viable abdominal pregnancy with bilateral equino-varus.

Abstract

Abdominal pregnancy is a variety of ectopic pregnancy with inter peritoneal implantation exclusive of tubal, ovarian or intraligamentous pregnancy. Abdominal pregnancy is rare with frequency directly related to the frequency of ectopic gestations in the population. The worldwide incidence ranges from 1:1320 to 1:10200 births. Objective to report a case of abdominal pregnancy in south south region of Nigeria and highlight the clinic radiological diagnosis of this condition. Methodology: the medical record of the patient was reviewed then literature of the relevant subject was medline searched. Case report: a 30-year-old primigravida presented to the central hospital ughelli in the south south zone of Nigeria for ANC at 12 weeks gestation by date and complained of recurrent paraumbilical pains of 2 months duration. Clinical examination revealed stable vital signs but the uterus was not palpable. An obstetrics scan done later showed a singleton inactive fetus, extra uterine in location. Other significant findings were oligohydramnious and extra uterine placenta. The G.A was 22 weeks 1 day +/- 14 days. An impression of abdominal pregnancy with fetal death was made, radiology is central in the definitive diagnosis.  Ultrasonography is recommended as a rapid non-invasive method to aid in diagnosis. The classic finding is an empty uterus separate from the fetus (100% of case diagnosed) at emergency laparotomy the finding included a dead fetus attached to the greater omentum. conclusion: the diagnosis of advanced abdominal pregnancy by ultrasound is vital to avert morbility /mortality.