Successful Expectant Management of an Incidental Extra-uterine Abdominal Pregnancy: A Case Report at Muhimbili National Hospital, Eastern Tanzania

Abstract

Paul E. Ndeki, Matilda Ngarina, Hildegard Aloyce Kundi and S.N. Massawe

Extrauterine abdominal pregnancy is a rare type of ectopic pregnancies associated with a high mortality rate. The level of maternal mortality is estimated to be at 8times higher than that of other ectopic tubal pregnancies and is 90 times higher than intrauterine pregnancies. Symptoms are variable and not specific and usually resemble the other types of ectopic pregnancies. Most cases of abdominal pregnancies are secondary and the most common mechanism is an implantation on the peritoneum after a tubal abortion. The abdominal pregnancy rates range between 1:10,000 and 1:30,000 in the population, and it represents 1.4% of extra-uterine pregnancies and are related to a high-risk of maternal morbidity and mortality. We present a case of extra- uterine abdominal pregnancy, diagnosed and successfully managed with good maternal and fetal outcomes at Muhimbili National Hospital.

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