Publication: Misdiagnosis of a Term Abdominal Ectopic Pregnancy: A Case Report
Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Abdominal ectopic pregnancy is a rare and life-threatening condition, often misdiagnosed due to its nonspecific clinical presentation and imaging challenges. We present a case of a 20-yearold primigravida at 39+6 weeks of gestation that was initially misdiagnosed as complete placenta previa with transverse lie and was only identified as abdominal ectopic pregnancy intraoperatively. An emergency cesarean section was planned for suspected placenta previa, during which an intact amniotic sac was found in the peritoneal cavity, with placental attachment to the greater omentum, left ovary, and fallopian tube for which cesarean section was converted to the laparotomy. The baby was live at birth but succumbed to respiratory distress on the third day of life. A multidisciplinary team helped in optimizing maternal outcomes. Early recognition, appropriate imaging, and surgical expertise are essential to reduce morbidity and mortality.
Description
Kumar Bahadur Bista
Pokhara Academy of Health Sciences, Pokhara, Nepal.
Rakesh Pariyar
Patan Academy of health Sciences, Lalitpur, Nepal.
Aashis Poudel
Patan Academy of Health Sciences, Lalitpur, Nepal
Sharmila Ghimire
Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Kalpana Kumari Yadav
Pokhara Academy of Health Sciences, Pokhara, Nepal.