Abdominal Pregnancy with a live baby at term: An incidental finding at Emergency Caesarean section for type ii Placenta Praevia in a Private Healthcare Facility in Ebonyi state, Nigeria: Case Report

Abstract

We present a case of an unbooked 33yr old G4P2+1 with abdominal pregnancy and a live baby at term. This

was an incidental finding at an emergency cesarean section for type II placenta praevia in a secondary facility

in Ebonyi State, Nigeria. She had a previous history of left tubal ectopic pregnancy with salpingectomy. She

presented with complaints of continuous abdominal pain, ultrasound diagnosis of type II placenta praevia and

a previous history of centennial bleeding. On examination, though her vital signs were unremarkable, the lie

and presentation were not appreciable and the fetal heart rate was not heard. An assessment of type II placenta

praevia at term was made and she was worked up for an emergency Cesarean section. Intraoperatively, a

highly vascularized placenta with anastomotic branches to the peritoneum was seen. The placenta was firmly

attached to the left uterine cornus but was adherent to the left broad ligament, transverse and sigmoid colon.

A normal right fallopian tube and ovary were seen.A live healthy female fetus was extracted with a birth

weight of 2.7 kg and an Apgar Score of 71105and with no obvious deformities. The placenta and membranes

were gradually separated and haemostasis achieved. She received a total of 7 units of blood before discharge and

was offered intra uterine contraceptive device at six weeks.

KEYWORDS: abdominal pregnancy, life ectopic baby, term ectopic gestation