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Case Report
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| Advanced secondary abdominal pregnancy: A complication of induced abortion | ||||||
| Fateme Lalooha1, Khadijeh Elmizadeh1, Fateme Salehi2 | ||||||
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1Obstetrician and Gynecologist, Department of Obstetrics & Gynecology, Qazvin University of Medical Science, Qazvin, Iran.
2Resident of Obstetrics and Gynecology, Department of Obstetrics & Gynecology, Qazvin University of Medical Science, Qazvin, Iran. | ||||||
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| How to cite this article: |
| Lalooha F, Elmizadeh K, Salehi F. Advanced secondary abdominal pregnancy: A complication of induced abortion. International Journal of Case Reports and Images 2013;4(9):494–497. |
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Abstract
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Introduction:
Secondary abdominal pregnancies usually develop as a result of a tubal abortion, tubal rupture or uterine rupture with intra-abdominal implantation.
Case Report: We report a 40-year-old patient gravida IV, para III suffering from abdominal pain. She was in the 29th week of gestation according to a 14th-week normal sonogram. She had unsuccessfully attempted to induce abortion with the assistance of a home midwife in the 14th week. This caused severe abdominal pain, but she chose not to be hospitalized because of fear of prosecution. Ultrasound demonstrated that the fetus was out of the uterus and revealed a heterogeneous mass in the left lower quadrant. Laparotomy revealed an area of thin fibrotic scar behind the uterus with normal tubes and ovaries. The fetus in the amniotic sac was surrounded by intestinal loops. The placenta, implanted behind the left broad ligament at the edge of the scar area was removed with a brisk bleeding, which was controlled. No postoperative complications were observed. Conclusion: Presence of little free fluid and a uterine scar with normal fallopian tubes against a history of an unsuccessful induced abortion and severe illness are highly suggestive of a uterine rupture resulting in secondary implantation on the broad ligament. This is probably the first case that shows an abdominal pregnancy can result from unsuccessful induced abortion. In the countries where abortion is not permitted, patients with low socioeconomic status are prone to the dangerous consequences of illegal attempts to induce abortion. Close observation and special follow-up care are necessary in such cases. | |
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Keywords:
Induced Abortion, Pregnancy, Secondary Abdominal Pregnancy
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Author Contributions
Fateme Lalooha – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Khadijeh Elmizadeh – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Fateme Salehi – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Fatemeh Lalooha et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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