A Rare Case of Secondary Abdominal Pregnancy After Self–Administered Medical Abortion Pills – A Case Report

Dr Jharna Behura; Dr Mohini Paul

Volume : IX, Issue : III, March - 2020

A Rare Case of Secondary Abdominal Pregnancy After Self–Administered Medical Abortion Pills – A Case Report

Dr Jharna Behura, Dr Mohini Paul

Abstract :

Background: Abdominal pregnancy accounts for up to 1–1.4% of all ectopic pregnancies. Most often the diagnosis is missed and the condition may remain undetected until advanced gestational age and often results in severe life–threatening haemorrhage. Case Presentation: Our case was a 30–year–old Gravida 4, para 3 who came with the complaints of persistent nausea, vomiting and continuous lower abdominal pain, one and a half months after undergoing medical termination of pregnancy(MTP) along with laparoscopic tubal sterilisation. She had concealed a history of self–administered medical abortion pills 3 months back. USG revealed a live extra uterine pregnancy of 19 weeks gestation in Pouch of Douglas. Laparotomy was done and the secondary abdominal pregnancy along with the entire placenta could be removed due to its favourable location. Conclusion: Abdominal pregnancy after self–administration of medical abortion pills and being further missed during laparoscopic tubal sterilisation is an extremely rare event. Sonographic confirmation of intrauterine pregnancy before administration of medical abortion and tracing the fallopian tube in its entire length, at the time of performing laparoscopic tubal sterilization, will help prevent the missed or delayed diagnosis of such life threatening condition