Placenta in Situ - 9 Years Follow up in a Case of Advanced Viable Extrauterine Pregnancy Extraction

Advanced extrauterine pregnancy with a successful outcome is a rare event. Though relatively rare, advanced abdominal pregnancy (AAP) can have dramatic and catastrophic consequences for the fetus and the mother. Difficult to diagnose pre-operatively, AAP presents special challenges to the physician working in remote areas with limited resources for diagnosis and management. A case is presented of a 30-years-old woman at 35 weeks gestation whose abdominal pregnancy was successfully managed. The diagnostic and management problems associated with abdominal pregnancy are discussed, and especially the controversial issues of the treatment of the placenta after delivery. This case is specially reported because of the information of the placenta left in situ after extraction of the baby and membranes even after 9 years. The reasons for the high maternal and perinatal mortality associated with the condition are also analyzed.