Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area
Henri Donald Mutarambirwa1* Bruno Kenfack2 and Jovanny Tsuala Fouogue3,4
1Saint Vincent de Paul Catholic Hospital, Cameroon
2Dschang District Hospital and University of Dschang, Cameroon
3Mbouda District Hospital, Cameroon
4Geneva University Hospitals, Switzerland
Citation: Mutarambirwa HD, Kenfack B, Fouogue JT (2021) Term Abdominal Pregnancy Revealed by Amnioperitoneum in Rural Area. SciTech Women & Nursing 2021.
Received: November 12, 2020 Accepted: November 16, 2020 Published: November 16, 2020
Abdominal pregnancy (AP) accounts for 1% of ectopic implantations. In sub-Saharan Africa, the high prevalence of sexually transmitted infections explains the increasing frequency of this pathology. In Cameroon it rose from 1/10000 deliveries (1995) to 3.3/10000 (2015). Authors herein report a case of a viable abdominal pregnancy discovered at term during emergency laparotomy for suspected uterine rupture. The 24-year-old G2P0 patient was HIV-positive, under antiretrovirals, though AP exceptionally occurs in HIV patients. She did only two antenatal consultations: her main complaint was abdominal pain but five echographies concluded to normal intrauterine pregnancy. Findings at laparotomy were as follows: amnioperitoneum, a live female baby weighing 3.4 kilograms without deformities and a placenta deeply inserted on the uterine fundus. Removal of the placenta triggered massive bleeding (2400 milliliters) with shock managed with a tourniquet on the lower uterine segment and fluid resuscitation. Outcome was favourable for the mother and child. Prevention of vertical transmission of HIV was successful with antiretroviral therapy.
Keywords: Abdominal pregnancy, Amnioperitoneum, HIV, Cameroon