Obstet Gynecol Sci.  2016 Nov;59(6):535-538. 10.5468/ogs.2016.59.6.535.

Secondary abdominal pregnancy in human immunodeficiency virus-positive woman

• Kim MC
• Manyanga H
• Lwakatare

• KMID: 2378580
• DOI: http://doi.org/10.5468/ogs.2016.59.6.535

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.

Keyword

Abdominal pregnancy; Human immunodeficiency virus; Placenta; Ultrasonography

MeSH Terms

Capacity Building
Developing Countries
Diagnosis
Female
HIV
HIV Infections
Humans*
Methods
Mothers
Perinatal Mortality
Placenta
Pregnancy
Pregnancy, Abdominal*
Pregnancy, Ectopic
Sexually Transmitted Diseases
Ultrasonography

Figure

• 

  Fig. 1 Abdominal ultrasound: cramped fetal parts with oligohydramnios.

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

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