Abdominal Pregnancy with a live baby at term: An incidental finding at Emergency Caesarean section for type ii Placenta Praevia in a Private Healthcare Facility in Ebonyi state, Nigeria: Case Report

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Published: 2025-07-25
Keywords:
term ectopic gestation, life ectopic baby, abdominal pregnancy

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Darlington-Peter Chibuzor Ugoji
Department of Obstetrics and Gynaecology, David Umahi Federal University Teaching Hospital, Uburu, Ebonyi State, Nigeria
Kelvin Emeka Ortuanya
Department of Obstetrics and Gynaecology, Enugu State University Teaching Hospital Parklane, Enugu State, Nigeria
Emmanuel Chijioke Uwakwe
Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria
Udu Chijioke Udu
Department of Anaesthesia, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria
Idika Mba Idika
Department of Family Medicine, David Umahi Federal University Teaching Hospital, Uburu, Nigeria
Grace Amarachi Antia
St. Patrics Hospital Mile 4 Abakaliki, Ebonyi State, Nigeria
Hannah Damilola Samuel
St. Patrics Hospital Mile 4 Abakaliki, Ebonyi State,
Uzoma MaryRose Agwu
Department of Obstetrics and Gynaecology, David Umahi Federal University Teaching Hospital, Uburu, Ebonyi State, Nigeria
Perpetual Kelechi Enyinna
Department of Obstetrics and Gynaecology, David Umahi Federal University Teaching Hospital, Uburu, Ebonyi State, Nigeria

Abstract

We present a case of an unbooked 33yr old G4P2+1 withabdominal pregnancy and a live baby at term. This was an incidental finding at an emergency cesarean section for type II placenta praevia in a secondary facility in Ebonyi State, Nigeria. She had a previous history of left tubal ectopic pregnancy with salpingectomy. She presented with complaints of continuous abdominal pain, ultrasound diagnosis of type II placenta praevia and a previous history of centennial bleeding. On examination, though her vital signs were unremarkable, the lie and presentation were not appreciable and the fetal heart rate was not heard. An assessment of type II placenta praevia at term was made and she was worked up for an emergency Cesarean section. Intraoperatively, a highly vascularized placenta with anastomotic branches to the peritoneum was seen. The placenta was firmly attached to the left uterine cornus but was adherent to the left broad ligament, transverse and sigmoid colon. A normal right fallopian tube and ovary were seen.A live healthy female fetus was extracted with a birth weight of 2.7 kg and an Apgar Score of 7 10 and with no obvious deformities. The placenta and membranes were gradually separated and haemostasis achieved. She received a total of 7 units of blood before discharge and was offered intra uterine contraceptive device at six weeks.

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Article Details

Issue

Vol. 4 No. 2 (2025)

Section

Case Report

All articles published in the journal are licensed under a Creative Commons Attribution (CC BY) license(i.e CC Attribution-NonCommercial-ShareAlike 4.0), allowing others to share, distribute, and build upon the work, provided the original author(s) and source are properly cited. Authors retain the copyright of their work.

How to Cite

Ugoji, D.-P., Ortuanya, K., Uwakwe, E., Udu, U. C., Idika, I., Antia, G., Samuel , H., Agwu, U., & Enyinna, P. (2025). Abdominal Pregnancy with a live baby at term: An incidental finding at Emergency Caesarean section for type ii Placenta Praevia in a Private Healthcare Facility in Ebonyi state, Nigeria: Case Report. Niger Delta Journal of Medical Sciences (NDJMS), 4(2), 23-31. https://ndjms.visindex.org/index.php/home/article/view/9

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