A case of abdominal pregnancy following in vitro fertilization and embryo transfer treated with laparoscopic surgery

Koyama, Shinsuke; Yoshino, Ai; Okuno, Koichiro; Naoi, Hirokazu; Watanabe, Masahiro; Ozaki, Kimiaki; Shiki, Yasuhiko

doi:10.1016/j.gmit.2015.04.006

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…However, its impact on the incidence of abdominal pregnancy is yet to be explored. 9,10 According to the site of implantation of the zygote, the abdominal pregnancy can be classified into two types, the primary and secondary types. The primary type, where the zygote directly implanted in the abdominal, is extremely rare compared to the secondary type.…”

Section: Discussionmentioning

confidence: 99%

Advanced abdominal pregnancy with dead foetus: a case report

Htay

Than

Soe

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Abdominal pregnancy is a rare form of ectopic pregnancy in which the zygote implanted within the peritoneal cavity exception at ovaries, fallopian tubes and intra ligament spaces. The diagnosis is challenging and can be missed especially when the imaging facilities are not available in remote areas.A 35 years old, G3P2+0 was admitted to the hospital at 38+2 weeks of pregnancy with the chief complaint of reduced foetal movement for three days. She was taking regular antenatal care with the midwife at the rural health centre and uneventful until 37 weeks of pregnancy. On physical examination, the abdomen was distended, the foetal parts were easily palpable, no visible foetal movement and the foetal heart sound was not audible. Abdominal ultrasound scan identified the term foetus of abdominal pregnancy without foetal cardiac activity. The patient underwent laparotomy and dead, male foetus was extracted uneventfully. The placenta was attached to intestines and mesentery so that which was removed with great caution and secured haemostasis. The mother’s condition was stable throughout the operation and did not need to give the blood transfusion. The sutures were removed after 7 days and the healthy patient discharged from the hospital.Abdominal pregnancy is a rare condition and the diagnosis can be missed during the antenatal period and hence it is crucial to raise the awareness of health care personals especially in remote areas. The suspicious case of abdominal pregnancy should be referred to the experienced clinicians in the centres with diagnosis facilities.

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Section: Discussionmentioning

confidence: 99%

Advanced abdominal pregnancy with dead foetus: a case report

Htay

Than

Soe

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…Risk factors are similar to tubal ectopic prior history of a medically treated ectopic, previous pelvic inflammatory disease, prior surgery, endometriosis, and assisted conception. Abdominal ectopic pregnancies have been described after ART, specifically after IUI [57], after IVF [58], and after Clomid [59]. Symptoms include abdominal pain, painful fetal movements, vaginal bleeding, nausea, and vomiting.…”

Section: Abdominal Ectopic Pregnancymentioning

confidence: 99%

Non-tubal Ectopic Pregnancy: Incidence and Diagnosis

Serin¹,

Birge²

2020

Non-Tubal Ectopic Pregnancy

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Ectopic pregnancies occur at 1-2% of all pregnancies. The most common implantation site is the fallopian tube with 95, and 5% are non-tubal located. The aim of this review is to determine the current state of data about the diagnosis and the treatment of non-tubal ectopic pregnancies. Literature is reviewed concerning cervical, interstitial, cornual, ovarian, Caesarean scar, and abdominal ectopic pregnancies from PubMed databases. Non-tubal ectopic pregnancies are often misdiagnosed and overlooked. Clinical symptoms and ultrasound must be combinated to diagnose. Management may involve medical treatment with methotrexate or surgery or a combination according to patient's clinical stability and the location of ectopic pregnancy. Non-tubal ectopic pregnancies are rare but can be a life-threatening condition due to late diagnosis. Early diagnosis and treatment of patients are associated with decreased morbidity and mortality in non-tubal pregnancy and, very importantly, preserve the uterus and subsequent fertility. İncreased experiences have led to choose the best way to manage non-tubal pregnancies and develop new techniques.

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“…Because severe intra-abdominal hemorrhage due to placental separation or rupture of maternal blood vessels could ensue in advanced abdominal pregnancies, 7 early surgical intervention is generally recommended once the diagnosis of abdominal pregnancy is confirmed. 8 There has been no English language case report that describes the course of expectant management for abdominal pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Expectant management for abdominal pregnancy

Yasumoto

Sato

Ueda

et al. 2017

Gynecology and Minimally Invasive Therapy

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This is the first English language report describing the expectant management for abdominal pregnancy. The patient was a 31-year-old multiparous woman who was transferred to our hospital on suspicion of ectopic pregnancy. Her serum human chorionic gonadotropin was positive, and a poorly-vascularized mass measuring about 4 cm was visualized in the Douglas pouch by transvaginal ultrasonography, as well as by pelvic magnetic resonance imaging. Because the bilateral adnexa were apparently intact, she was diagnosed with abdominal pregnancy, and expectant management was commenced. Unexpectedly, the mass remained in situ for nearly 3 years after her serum human chorionic gonadotropin tested negative. Laparoscopic removal of the mass was finally required because of persistent defecation pain. This case illustrates that some abdominal pregnancies can be managed expectantly, as is the case with tubal pregnancies. During the expectant management, however, it should be considered that the abdominal pregnancy mass may persist for a longer period and cause moderate symptoms necessitating surgical removal.

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A case of abdominal pregnancy following in vitro fertilization and embryo transfer treated with laparoscopic surgery

Cited by 6 publications

References 6 publications

Advanced abdominal pregnancy with dead foetus: a case report

Advanced abdominal pregnancy with dead foetus: a case report

Non-tubal Ectopic Pregnancy: Incidence and Diagnosis

Expectant management for abdominal pregnancy

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