Browsing by Author "V., Vijayalakshmi"

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    Asymptomatic secondary abdominal pregnancy diagnosed 12 years after tubectomy
    (Medip Academy, 2023-11) Bulusu, Ratna; Biradar, Kalavathi D.; V., Vijayalakshmi
    Abdominal pregnancy is a rare obstetric complication with high maternal mortality. Advanced abdominal pregnancy is rare and accounts for 1 in 25,000 pregnancies. 32 years� lady, P2L2, last child birth and interval tubectomy by modified Pomeroy抯 method 12 years ago, reported with Amenorrhoea of two months with vague lower abdominal pain since 2 days. Ultrasonography (USG) abdomen and pelvis showed an extrauterine viable pregnancy of 20+ weeks POG with no hemoperitoneum. she travelled 4 hours by road to her hometown, for second opinion and was referred back to our institution. A laparotomy was done; hemoperitoneum of 1.5 litres was noted. The sac with the live foetus inside with placental implantation seen on entire left fallopian tube except the fimbrial end and a small portion of omentum was noted. Left salpingectomy with excision of the sac with the foetus along with partial omentectomy was performed. Patient received two units of PRBC postoperatively.