Full-term extrauterine abdominal pregnancy: a case report

<p>Abstract</p> <p>Introduction</p> <p>Extrauterine abdominal pregnancy is extremely rare and is frequently missed during antenatal care. This is a report of a full-term extrauterine abdominal pregnancy in a primigravida who likely had a ruptured ectopic pregnancy with secondary implantation and subsequently delivered a healthy baby.</p> <p>Case presentation</p> <p>A 23-year-old, Middle Eastern, primigravida presented at 14 weeks gestation with intermittent suprapubic pain and dysuria. An abdominal ultrasound examination showed a single viable fetus with free fluid in her abdomen. A follow-up examination at term showed a breech presentation and the possibility of a bicornute uterus with the fetus present in the left horn of her uterus. Our patient underwent Cesarean delivery under general anesthesia and was found to have a small intact uterus with the fetus lying in her abdomen and surrounded by an amniotic fluid-filled sac. The baby was extracted uneventfully, but the placenta was implanted in the left broad ligament and its removal resulted in massive intraoperative bleeding that necessitated blood and blood products transfusion and the administration of Factor VII to control the bleeding. Both the mother and newborn were discharged home in good condition.</p> <p>Conclusions</p> <p>An extrauterine abdominal pregnancy secondary to a ruptured ectopic pregnancy with secondary implantation could be missed during antenatal care and continue to term with good maternal and fetal outcome. An advanced extrauterine pregnancy should not result in the automatic termination of the pregnancy.</p

Aquaculture and Fisheries in the Sundarbans and Adjacent Areas in Bangladesh: Resources, Productivity, Challenges and Opportunities

Estuarine aquatic systems and braided rivers in and adjacent to the Sundarbans and the vast area of the Ganges tidal floodplain next to the core forest area in Bangladesh holds rice aquatic faunal diversity and provides plenty of opportunities to grow fish, shrimps and crabs. Currently these systems provide direct employment opportunity for 1.2 million people and indirect or seasonal livelihood for more than 10 million people across the southwest coast. Hilsa is the largest fishery in this region and shrimp brings the highest cash and export earnings. Proper implementation of fisheries regulation is critical to ensure conservation of the rich fish diversity of this region as well as to continue to support livelihood of millions of people living on fisheries. While aquaculture is the major contributor to national fish production, agricultural GDP and export earning, it requires planned advancement from the current state to continue to grow in harmony with environment. Integration with rice and other crops, and with mangrove wherever possible can bring long-term sustainability of these systems. Change in the river flow due to siltation and reduced upstream flow, climate change, sea level rise, outbreak of disease in fish and crustaceans are major challenges for future growth and sustainability of both aquaculture and fisheries in this region. Collaborative and multi-disciplinary research should be undertaken to address these challenges. In addition, there should be mechanism to bring research outputs into use and make impact on sustainability