Surviving 27 weeks fetus expelled out of the ruptured rudimentary horn and detected a month later as a secondary abdominal pregnancy

Autor: Ashma Rana, Geeta Gurung, Suniti Rawal, Shilu Adhukari, Kesang D Bista, Ram Kumar Ghimire
Rok vydání: 2008
Předmět:
Zdroj: Journal of Obstetrics and Gynaecology Research. 34:247-251
ISSN: 1447-0756
1341-8076
DOI: 10.1111/j.1447-0756.2008.00763.x
Popis: A pregnant woman, gravida 3 with two living children, who frequently experienced syncope from 23(+5) weeks of pregnancy onwards and recurring every week for a period of 3 weeks, was repeatedly treated in line for a case of acid peptic disease/appendicitis in various peripheral hospitals of Nepal, until ultrasonogram/magnetic resonance imaging diagnosis of an (undisturbed) live 27(+5) weeks abdominal pregnancy was made at our hospital. On laparotomy, this materialized to be secondary to the rupture of a left rudimentary horn pregnancy (evidenced from its sealed margin) which still retained a complete placenta, from where an umbilical cord was seen, traversing across towards the right side of the abdominal cavity just below the liver, securing its attachment to the surviving fetus and enclosed in an intact amniotic sac. Excision of the rudimentary horn containing the placenta was accomplished, after the delivery of a live baby weighing 650 g who unfortunately died on the third day of life.
Databáze: OpenAIRE