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Secondary abdominal pregnancy in human immunodeficiency virus-positive woman

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ABSTRACT

We report on an abdominal pregnancy in human immunodeficiency virus-positive mother, currently on antiretroviral therapy, which was discovered incidentally while training the obstetric ultrasound capacity building program. Although abdominal pregnancy is a rare form of ectopic pregnancy, it may be more common in women with HIV infection because they tend to have a higher rate of sexually transmitted diseases than the general population. The positive diagnosis of abdominal pregnancy is difficult to establish and is usually missed during prenatal assessment particularly in settings that lack routine ultrasound examination as is the case in most developing countries. For the management of abdominal pregnancy, surgical intervention is recommended and removal of the placenta is a key controversy. Ultrasonography is considered the front-line and most effective imaging method and an awareness with a high index of suspicion of abdominal pregnancy is vital for reducing associated high maternal and even higher perinatal mortality.

No MeSH data available.


Magnetic resonance imaging showing pregnancy developing outside of the uterus.
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Figure 2: Magnetic resonance imaging showing pregnancy developing outside of the uterus.

Mentions: On July 27th 2015, to confirm the presumptive diagnosis of abdominal pregnancy, a subsequent abdomen-pelvis magnetic resonance imaging was performed at Muhimbili National Hospital in Dar es Salaam, and it showed no intrauterine gestational sac while a fetus was visualized in right abdomen with the placenta in the right iliac fossa (Fig. 2).


Secondary abdominal pregnancy in human immunodeficiency virus-positive woman
Magnetic resonance imaging showing pregnancy developing outside of the uterus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120075&req=5

Figure 2: Magnetic resonance imaging showing pregnancy developing outside of the uterus.
Mentions: On July 27th 2015, to confirm the presumptive diagnosis of abdominal pregnancy, a subsequent abdomen-pelvis magnetic resonance imaging was performed at Muhimbili National Hospital in Dar es Salaam, and it showed no intrauterine gestational sac while a fetus was visualized in right abdomen with the placenta in the right iliac fossa (Fig. 2).

View Article: PubMed Central - PubMed

ABSTRACT

We report on an abdominal pregnancy in human immunodeficiency virus-positive mother, currently on antiretroviral therapy, which was discovered incidentally while training the obstetric ultrasound capacity building program. Although abdominal pregnancy is a rare form of ectopic pregnancy, it may be more common in women with HIV infection because they tend to have a higher rate of sexually transmitted diseases than the general population. The positive diagnosis of abdominal pregnancy is difficult to establish and is usually missed during prenatal assessment particularly in settings that lack routine ultrasound examination as is the case in most developing countries. For the management of abdominal pregnancy, surgical intervention is recommended and removal of the placenta is a key controversy. Ultrasonography is considered the front-line and most effective imaging method and an awareness with a high index of suspicion of abdominal pregnancy is vital for reducing associated high maternal and even higher perinatal mortality.

No MeSH data available.