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Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report

Received: 3 September 2015     Accepted: 26 November 2015     Published: 27 January 2016
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Abstract

Background: An abdominal pregnancy is a rare condition with high morbidity and mortality. Unlike most other ectopic pregnancies, it has a unique potential to progress to fetal viability. Reports abound of live births following spontaneously-conceived abdominal pregnancies but same cannot be said of those conceived via In vitro fertilization/Embryo transfer (IVF/ET). We report a case of an undiagnosed abdominal pregnancy following IVF/ET, which resulted in a live birth. Case presentation: A 50-year-old booked Gravida 2 Para 0 +1 lady with an IVF pregnancy was admitted at 28 weeks gestation based on complaints of vague abdominal pains. All Ultrasound scans performed prior to and after admission reported the pregnancy as intrauterine. While on admission, she developed preeclampsia which became severe necessitating an urgent abdominal delivery at 34 weeks. The ‘urgent caesarean section’ eventually became a laparotomy. A live female fetus weighing 2.4kg was extracted from the peritoneal cavity. The placenta which was implanted mainly on the omentum was resected and removed. Both the mother and her baby were discharged home in good conditions. Conclusion: An Abdominal pregnancy may occur following IVF/ET and be missed during antenatal care despite repeated ultrasound examinations. Clinicians must maintain a high index of suspicion for its occurrence.

Published in Journal of Gynecology and Obstetrics (Volume 4, Issue 1)
DOI 10.11648/j.jgo.20160401.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Ectopic Pregnancy, Assisted Conception, Ultrasound Scan, Abdominal Pain, Laparotomy, Placenta, Omentum, Live Fetus, Ivf/Et

References
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Cite This Article
  • APA Style

    Osato Giwa-Osagie, Benedict Ekaidem, Bobo Kayode, Bolanle Are, Philomena Aisagbohni, et al. (2016). Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report. Journal of Gynecology and Obstetrics, 4(1), 1-6. https://doi.org/10.11648/j.jgo.20160401.11

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    ACS Style

    Osato Giwa-Osagie; Benedict Ekaidem; Bobo Kayode; Bolanle Are; Philomena Aisagbohni, et al. Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report. J. Gynecol. Obstet. 2016, 4(1), 1-6. doi: 10.11648/j.jgo.20160401.11

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    AMA Style

    Osato Giwa-Osagie, Benedict Ekaidem, Bobo Kayode, Bolanle Are, Philomena Aisagbohni, et al. Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report. J Gynecol Obstet. 2016;4(1):1-6. doi: 10.11648/j.jgo.20160401.11

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  • @article{10.11648/j.jgo.20160401.11,
      author = {Osato Giwa-Osagie and Benedict Ekaidem and Bobo Kayode and Bolanle Are and Philomena Aisagbohni and Charles Oniha},
      title = {Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {4},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.jgo.20160401.11},
      url = {https://doi.org/10.11648/j.jgo.20160401.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20160401.11},
      abstract = {Background: An abdominal pregnancy is a rare condition with high morbidity and mortality. Unlike most other ectopic pregnancies, it has a unique potential to progress to fetal viability. Reports abound of live births following spontaneously-conceived abdominal pregnancies but same cannot be said of those conceived via In vitro fertilization/Embryo transfer (IVF/ET). We report a case of an undiagnosed abdominal pregnancy following IVF/ET, which resulted in a live birth. Case presentation: A 50-year-old booked Gravida 2 Para 0 +1 lady with an IVF pregnancy was admitted at 28 weeks gestation based on complaints of vague abdominal pains. All Ultrasound scans performed prior to and after admission reported the pregnancy as intrauterine. While on admission, she developed preeclampsia which became severe necessitating an urgent abdominal delivery at 34 weeks. The ‘urgent caesarean section’ eventually became a laparotomy. A live female fetus weighing 2.4kg was extracted from the peritoneal cavity. The placenta which was implanted mainly on the omentum was resected and removed. Both the mother and her baby were discharged home in good conditions. Conclusion: An Abdominal pregnancy may occur following IVF/ET and be missed during antenatal care despite repeated ultrasound examinations. Clinicians must maintain a high index of suspicion for its occurrence.},
     year = {2016}
    }
    

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    T1  - Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report
    AU  - Osato Giwa-Osagie
    AU  - Benedict Ekaidem
    AU  - Bobo Kayode
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    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    EP  - 6
    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.jgo.20160401.11
    AB  - Background: An abdominal pregnancy is a rare condition with high morbidity and mortality. Unlike most other ectopic pregnancies, it has a unique potential to progress to fetal viability. Reports abound of live births following spontaneously-conceived abdominal pregnancies but same cannot be said of those conceived via In vitro fertilization/Embryo transfer (IVF/ET). We report a case of an undiagnosed abdominal pregnancy following IVF/ET, which resulted in a live birth. Case presentation: A 50-year-old booked Gravida 2 Para 0 +1 lady with an IVF pregnancy was admitted at 28 weeks gestation based on complaints of vague abdominal pains. All Ultrasound scans performed prior to and after admission reported the pregnancy as intrauterine. While on admission, she developed preeclampsia which became severe necessitating an urgent abdominal delivery at 34 weeks. The ‘urgent caesarean section’ eventually became a laparotomy. A live female fetus weighing 2.4kg was extracted from the peritoneal cavity. The placenta which was implanted mainly on the omentum was resected and removed. Both the mother and her baby were discharged home in good conditions. Conclusion: An Abdominal pregnancy may occur following IVF/ET and be missed during antenatal care despite repeated ultrasound examinations. Clinicians must maintain a high index of suspicion for its occurrence.
    VL  - 4
    IS  - 1
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Author Information
  • Department of Obstetrics & Gynecology, Omni Medical Centre and Advanced Fertility Clinic, Lagos, Nigeria

  • Department of Obstetrics & Gynecology, Omni Medical Centre and Advanced Fertility Clinic, Lagos, Nigeria

  • Advanced Fertility Unit, Omni Medical Centre and Advanced Fertility Clinic, Lagos, Nigeria

  • Department of Obstetrics & Gynecology, Omni Medical Centre and Advanced Fertility Clinic, Lagos, Nigeria

  • Advanced Fertility Unit, Omni Medical Centre and Advanced Fertility Clinic, Lagos, Nigeria

  • Department of Paediatrics, Omni Medical Centre and Advanced Fertility Clinic, Lagos, Nigeria

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