Term abdominal pregnancy mis-diagnosed as placenta praevia in Benin - city: a case report
CA OkonkwoFMCOG , ABA AndeFWACS
De partments of Obstetrics and Gynaecolog y, Universit y of Bening, Nigeria
C A Okonkwo Department of Obstetrics and Gynaeco/ogy, University of Benin TeachinHospital, Benin- Citv Nigeria
A 38-year old multiparous woman presented at the 37'h week with a day history of bleeding per vaginum . Ultrasound scan made a diagnosis of Placenta Praevia. She had a laparatomy and was delivered of a live female neonate, 2.7kg with Apgar scores of 7 and 9 at the first and fifth minute. The baby was lying within the peritoneal cavity with the placenta attached to the ileum and Jejunum. Haemostasis was secured and the wound was closed with the placenta and membranes left In-situ. She was transfused with four units of blood and both mother and baby did well.
This case highlights the Importance of ultrasound scan In pregnancy by a competent sonologlst and the possibility of a viable abdominal pregnancy at term.