Abdominal Pregnancy: Pathophysiology, Diagnosis, and Treatment

Mamo, Andrina; Adkins, Katlynn

doi:10.1089/gyn.2022.0013

Cited by 7 publications

(37 citation statements)

References 33 publications

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“…Another case report included abdominal computed tomography as another diagnostic modality before diagnostic laparoscopy 9 . Previous report has recommended that preoperative magnetic resonance imaging (MRI) may be not only helpful for an early abdominal pregnancy diagnosis but also beneficial for treatment planning 12,13 . We believe that for evident ectopic pregnancies in which the implantation sites could not be confirmed preoperatively, these tests reduce the risk of missing an abdominal pregnancy while facilitating the completion of laparoscopic treatment.…”

Section: Discussionmentioning

confidence: 99%

Early abdominal wall ectopic pregnancy treated with laparoscopic surgery: A case report and literature review

Ishikawa

Nakanishi

Tsumura

et al. 2023

J of Obstet and Gynaecol

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The abdominal wall is a rare site of ectopic implantation. Laparoscopic surgery for early abdominal pregnancy, in contrast to its use for tubal ectopic pregnancy, remains controversial because of concerns regarding heavy bleeding at the implantation site. Treatment of early abdominal pregnancy must be individualized for each implantation site. Herein, we present a case of an early abdominal pregnancy implanted in the anterior abdominal wall that was successfully treated with laparoscopic surgery. A 28‐year‐old multiparous woman with a 6‐week amenorrhea presented with acute abdominal pain. An ectopic pregnancy was suspected because of elevated serum human chorionic gonadotropin levels without a visible gestational sac on transvaginal ultrasonography. Diagnostic laparoscopy revealed a gestational sac hanging from the anterior abdominal wall near the previous cesarean section wound. Laparoscopic surgery was successfully performed, and the patient was discharged on postoperative day three. In the present case, laparoscopic surgery was beneficial.

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Section: Discussionmentioning

confidence: 99%

Early abdominal wall ectopic pregnancy treated with laparoscopic surgery: A case report and literature review

Ishikawa

Nakanishi

Tsumura

et al. 2023

J of Obstet and Gynaecol

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“… 9 There are times when an abdominal pregnancy was identified at full term of pregnancy, but this is rare. 1 , 2 Usually, the foetus dies before term due to incomplete nutritional intake. However, several advanced abdominal pregnancies were reported with foetal intrauterine growth restriction cases due to inadequate blood flow from the placenta to the foetus.…”

Section: Discussionmentioning

confidence: 99%

“… 17 However, if the patient’s condition is hemodynamically unstable with ultrasound finding of fluid interpreted as hemoperitoneum, laparotomy is urgent to terminate the pregnancy and control the bleeding as found in this case. 1 , 4 …”

Section: Discussionmentioning

confidence: 99%

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Right abdominal pregnancy with hemorrhagic shock after previous left tubal pregnancy: A case report

Suryawan

Rahardjo

Suparman

et al. 2023

SAGE Open Medical Case Reports

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Abdominal pregnancy is the rarest ectopic pregnancies, with an incidence of 1 per 10,000 live births, and life-threatening because the symptoms are not specific and diagnosis is made after abdominal pain, amenorrhea and vaginal bleeding occur. We present a rare case of abdominal pregnancy in a 31-year-old Indonesian woman with severe abdominal pain within 24 hours before hospital admission, accompanied by nausea, vomiting, dizziness and weakness. She felt the pain increasing since the last 2 weeks and limiting her movement. She has a history of a left tubal pregnancy 5 years ago. Ultrasonography examination revealed an ectopic pregnancy, and she was rushed to the operation room for emergency exploratory laparotomy. An abdominal pregnancy was found, located in the right adnexa with excessive fluid in cavum Douglass and a foetus in around 11–12 weeks of gestation accompanied by free fluid in the subdiaphragmatic, subhepatic and pelvic cavity. The surgery was a successful, four units of whole blood were transfused, and the patient was safely discharged from the hospital. The current concept on management of abdominal pregnancy supports immediate surgical intervention with pregnancy termination, as found in this case, because the patient’s condition is hemodynamically unstable indicating hemorrhagic shock correlated with massive hemoperitoneum. A prompt diagnosis and good teamwork in treatment plays an important role for such a life-threatening condition to avoid maternal morbidity and mortality in a case of abdominal pregnancy.

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“…Intra abdominal pregnancy is one of the rare (0.6-4%) and life-threatening types of ectopic pregnancy which has been implanted in the peritoneal cavity outside of the uterus, fallopian tube and ovary [2]. It is a type of ectopic pregnancy whereby a gestation implants within the abdomen but outside the female reproductive organs [1]. An embryo that implants and starts to grow on the viscera or abdominal peritoneum is described as a primary abdominal pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Incidental intra-abdominal pregnancy diagnosed at Singida regional referral Hospital, Central zone, Tanzania: Case report

Charles Muttani

2024

IJCCR

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Background: Intra abdominal pregnancy is one of the rare and life-threatening types of ectopic pregnancy which has been implanted in the peritoneal cavity outside of the uterus, fallopian tube and ovary. An embryo that implants and starts to grow on the viscera or abdominal peritoneum is described as a primary abdominal pregnancy. This article will create awareness of capturing all ectopic pregnancies from the lower level to the higher level health facilities in the country so as to know the magnitude of this problem. Case Description/ Presentations: A 22 years pregnant woman, from mpambaa, kaselya, singida region, the central zone of Tanzania, G2P1L1 with Gestational Age (GA) of 41 weeks and 2 days (by LNMP) was referred from the lower level facility to Singida Regional Referral Hospital for further management, with the referral diagnosis of Intrauterine fetal demise/death(IUFD) diagnosed based on patient history (mother reported absence of fetal kicks) and physical examination(FHR not heard on fetoscope). Diagnosis of intra-abdominal pregnancy based on incidentally intra-operatively findings . The intra-operatively findings concluded the diagnosis of intra-abdominal pregnancy. The patients didn’t do obstetric ultrasound throughout the antenatal visits because the facility she was used to attending Antenatal clinic had no ultrasound. Conclusion and Recommendation: Capacity building to health practitioners in identifying and diagnosing intra-abdominal pregnancy based on clinical manifestations and radiological diagnostic features should be done to all health facilities levels.

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Abdominal Pregnancy: Pathophysiology, Diagnosis, and Treatment

Cited by 7 publications

References 33 publications

Early abdominal wall ectopic pregnancy treated with laparoscopic surgery: A case report and literature review

Early abdominal wall ectopic pregnancy treated with laparoscopic surgery: A case report and literature review

Right abdominal pregnancy with hemorrhagic shock after previous left tubal pregnancy: A case report

Incidental intra-abdominal pregnancy diagnosed at Singida regional referral Hospital, Central zone, Tanzania: Case report

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