Intramural Pregnancy: An Intriguing Diagnosis in a Resource Constraint Practice.
| Autor: | Lawal OO; Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria. Email: gbolahanobajimi@gmail.com; Phone number: +2348033491985.; Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria., Obajimi GO; Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria. Email: gbolahanobajimi@gmail.com; Phone number: +2348033491985.; Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria., Okor CM; Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria., Ogunsola JA; Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria. |
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| Jazyk: | angličtina |
| Zdroj: | West African journal of medicine [West Afr J Med] 2024 Jul 30; Vol. 41 (7), pp. 831-835. |
| Abstrakt: | A 30-year-old G4P1+2(1 alive) woman with a history of cervical incompetence initially presented at a gestational age (GA) of 10 weeks and 6 days with lower abdominal pain and was managed conservatively as a case of threatened miscarriage. She re-presented two weeks later and was admitted on account of lower abdominal pain and spotting per vagina of 4hrs duration. An obstetric ultrasound revealed an intrauterine pregnancy invading the posterior myometrium with thinning of the uterine wall and hemoperitoneum. She subsequently had an exploratory laparotomy, evacuation of the hemoperitoneum, separation of the fetus from the myometrium, and repair with no. 2 vicryl suture. The patient recovered satisfactorily and had two units of whole blood transfused. She was managed with analgesics, hematinics and broad-spectrum antibiotics. She was discharged on the 4th post-operative day to be followed up at the gynaecological clinic. Competing Interests: The Authors declare that no competing interest exists (Copyright © 2024 by West African Journal of Medicine.) |
| Databáze: | MEDLINE |
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