Cervical Ectopic Pregnancy in Resource Deprived Areas: A Rare and Difficult Diagnosis

Ectopic pregnancy is a common cause of morbidity and mortality in women of reproductive age especially in resource deprived areas worldwide. Cervical ectopic pregnancy is a rare, life threatening form of ectopic pregnancy which needs a high index of suspicion for diagnosis, thus adding a complex twist to the dilemma faced by the obstetrician in resource deprived areas. A case of a cervical ectopic pregnancy which presented in a resource deprived area in a region in Ghana is discussed, and the difficulties encountered in diagnosis and management of this lifethreatening condition are outlined.Keywords: Ectopic pregnancy, cervical, resource deprived areas, difficult diagnosis, managemen

Burst abdomen in pregnancy: A proposed management algorithm

Management of the burst abdomen is complex due to the co-morbidities associated with it. When coupled with intraabdominal sepsis and pregnancy, it becomes even more difficult due to the ethical issues that have to be considered when managing both mother and child. Due to the paucity of literature on this subject, a management algorithm has been proposed which aims at tackling this delicate issue. However, the major consideration in the management of these cases is that decisions are to be made based on optimization of the condition of the mother.Keywords: Burst abdomen, pregnancy, management, algorithm, intra-abdominal sepsi