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Obstetrics & Gynecology 2008;111:502-504
© 2008 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Advanced Abdominal Pregnancy Resulting From Late Uterine Rupture

Norzilawati M. Naim, MD, Shuhaila Ahmad, MD, Harlina H. Siraj, MD, Paul Ng, MBChB, MRCOG, Zaleha A. Mahdy, MD, PhD and Zainul Rashid M. Razi, MMD, PhD

From the 1 Department of Obstetrics and Gynaecology, Faculty of Medicine, National University of Malaysia, Hospital UKM, Kuala Lumpur, Malaysia.

ABSTRACT

BACKGROUND: Advanced abdominal pregnancy is rare, and one that occurs after uterine rupture with delivery of a viable fetus is exceptional.

CASE: A multiparous patient was admitted at 29 weeks of gestation for conservative management of placenta previa. She complained of intermittent abdominal pain, but repeated assessment suggested that both the patient and the fetus were doing well. At 36 weeks, an abdominal pregnancy was diagnosed with radiological features suggestive of uterine rupture. Laparotomy was performed and a healthy infant was delivered.

CONCLUSION: Fetal viability was achieved in this case of abdominal pregnancy secondary to uterine rupture after close maternal and fetal surveillance.






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