World Journal of
Pharmaceutical and Life Sciences

PERITONEAL EXTRA UTERINE PREGNANCY ABOUT A RARE CASE AND REVIEW OF THE LITERATURE

M. Bouslikhane*, S. Ghdaif, Khalloufi C., Nayam F., S. Mahdaoui, K. Fichtali and S. Bouhya

ABSTRACT

Among all the factors that make abdominal pregnancy frequent in our context of developing countries: the frequency of genital infections high and the absence of pregnancy follow-up. In our case, the extra uterine pregnancy is peritoneally located and does not seem to respond to a specific risk factor. It is therefore considered primitive. The diagnosis is evoked by the presence of abdominal pain, often in a context of late menstruation. Gynecological examination found an enlarged uterus but not proportional to the presumed age of pregnancy, this was confirmed by ultrasound and determination of the Bhcg level. Depending on the acute nature of symptoms, surgical intervention is often essential. The latter is performed by general or local anesthesia depending on the urgency. A few cases of abdominal ectopic pregnancy carried to term or near term have been described in the literature, in these cases fetal fragility, polymalformation and anesthetic depression often contribute to the failure of resuscitation of the newborn.

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