Case 2 was a 41-year-old mother of two, who had slight bleeding at 16 weeks, and intermittent pain for four months. She was admitted to the hospital at 27 weeks. Her pain subsided after a week of hospitalization. The fetus could be easily felt through the woman's abdominal wall, as could the empty uterus. The patient refused immediate surgery, hoping to perserve her child's life. She remained hospitalized. At 32 weeks she experienced sudden, acute abdominal pain. She was delivered of a 2,010 gram infant. The placenta had attached to the back wall of her pelvic cavity and the right broad ligament. The sac, placenta, and right fallopian tube and ovary were removed, with minimal blood loss. the mother recovered well. The baby had some facial asymmetry due to the unusual pressures placed on her from being gestated outside the womb.
was a 33-year-old mother of four, admitted to the hospital at 36 1/2 weeks because of recurring abdominal pain. The fetus was in breach presentation, but attempts to turn the baby by maniuplating it through the abdominal wall were unsuccessful. An X-ray revealed that the baby was lying transversely. The doctors decided to perform a c-section, whereupon they learned that the baby was actually behind the mother's uterus.The baby weighed 2,920 grams. The placenta had attached to the back of the mother's reproductive organs, which were removed. The mother recovered well and the baby was healthy.
Case 4 wasa 43-year-old mother of 8 who had been having abdominal pain since 12 weeks, and was admitted to the hospital at 26 weeks. Her uterus was displaced by the fetus, which was in her abdomen. Two days after she was admitted, she experienced sudden acute abdominal pain, so doctors performed surgery to remove the baby, a girl weighing 1,040 grams. Blood loss was minimal. The mother recovered well, and the baby had no problems other than prematurity. Sadly, she developed a respiratory infection and died at age 34 days.
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