Anesthesia considerations and management in a case of abdominal pregnancy undergoing emergency laparotomy: A case report

Abstract

Abdominal pregnancy is a very rare form of ectopic pregnancy associated with high mortality and morbidity of the mother as well as the fetus. It is often observed in developing nations with poor outcomes as in most cases there is fetal demise. We report a 28-year-old parturient diagnosed with abdominal pregnancy and shifted for an emergency laparotomy. General anesthesia was provided with multiple wide bore intravenous access in anticipation of hemorrhage. Our primary concern was maternal safety and the patient did extremely well with blood loss successfully managed with tranexamic acid, crystalloids, colloids and blood products. She was extubated postoperatively, was shifted to Critical care unit for 2 days for post operative monitoring and was discharged on post operative day 10.