| CASE REPORT |
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| Year : 2016 | Volume
: 1
| Issue : 1 | Page : 6-8 |
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Late Abdominal Pregnancy in a Patient with Bicornis Unicollis Uterine Anomaly: A Case Report
CM Taingson1, TS Akande2, I Aniko3, DOK B Iyalar2, AG Adesiyun4
1 Department of Obstetrics and Gynaecology Barau Dikko Teaching Hospital, Kaduna State University, Zaria. Shika, Zaria
2 Department of Obstetrics and Gynaecology, Rasheed Shekoni, Specialist Hospital, Dutse
3 Department of Surgery ABUTH, Shika, Zaria. Shika, Zaria
4 Department of Obstetrics & Gynaecology, ABUTH Shika, Zaria
Correspondence Address:
C M Taingson
Department of Obstetrics and Gynaecology Barau Dikko Teaching Hospital, Kaduna State University, Zaria. Shika, Zaria
 Source of Support: None, Conflict of Interest: None
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Background: Abdominal pregnancy constitutes about 1% of all ectopic pregnancies. Maternal mortality could be as high as 20%, mainly from massive haemorrhage.
Case: A 17 year old woman (G2P0+1) with 20 weeks amenorrhea. She presented with lower abdominal pain and absence of fetal movement for two days. Abdominal pregnancy was diagnosed by transabdominal ultrasonography. At laparotomy, 600mls of haemoperitoneum and a macerated female fetus that weighed 600gms were found. She had a bicornuate uterus with the right horn greater than the left; each horn had a fallopian tube and ovary attached. The placenta was loosely attached to the anterior abdominal wall, omentum and the bicornuate uterus. She had a laparotomy and surgical removal of the pregnancy. Following an uneventful recovery, was discharged home on the 7th day.
Conclusion: The concomitant finding of a bicornis unicolis congenital uterine anomaly and abdominal pregnancy, with its proximity to the rudimentary horn makes it likely 'secondary abdominal pregnancy |
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