Advanced Abdominal Pregnancy: A Diagnostic and Management Dilemma

Dahiya, Kiran; Sharma, Damyanti

doi:10.1089/gyn.2007.b-02259-1

Cited by 16 publications

(13 citation statements)

References 10 publications

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“…Abdominal pregnancy may account for up to 1.4% of all ectopic pregnancies [1]. The incidence of abdominal pregnancy differs in various literatures and ranges between 1:10,000 pregnancies to 1:30, 000 pregnancies [1].…”

Section: Introductionmentioning

confidence: 99%

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Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

Hailu¹,

Yihunie

Essa

et al. 2017

BMC Pregnancy Childbirth

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BackgroundAbdominal pregnancy may account for up to 1.4% of all ectopic pregnancies. The incidence of abdominal pregnancy differs in various literatures and ranges between 1:10,000 pregnancies to 1:30, 000 pregnancies. The clinical symptoms of an uncomplicated abdominal pregnancy are unspecific. There are reports of maternal and fetal survival from advanced abdominal pregnancies.Case presentationOur case was a 26 years old gravida 4, para 3 (2 alive, one early neonatal death) woman. She presented to Felegehiwot Referal Hospital with a principal complaint of vomiting, epigastric pain, headache, and blurring of vision. Emergency cesarean delivery was decided with the impression of bicornuate uterus with intrauterine pregnancy, intrauterine growth restriction and sever preeclampsia.it was found to be advanced abdominal pregnancy. Placenta was removed and pack was used to control bleeding. Both the mother and neonate were discharged in a good condition.ConclusionAbdominal pregnancy with live fetus is an extremely rare condition and requires a high index of suspicion. Endometrial cavity may not be required for development of severe preeclampsia and packing is effective in controlling bleeding in selected cases.

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Section: Introductionmentioning

confidence: 99%

“…The incidence of abdominal pregnancy differs in various literatures and ranges between 1:10,000 pregnancies to 1:30, 000 pregnancies [1]. The incidence is high in women of developing nations [2].…”

Section: Introductionmentioning

confidence: 99%

Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

Hailu¹,

Yihunie

Essa

et al. 2017

BMC Pregnancy Childbirth

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“…The primary abdominal pregnancy occurs when implantation occurs directly in the peritoneum, saving the tubes and ovaries. The primary type is very rare; only 24 cases had been reported by 2007 [12]. …”

Section: Discussionmentioning

confidence: 99%

Rare Site of Ectopic Pregnancy in a Patient with Bicornuate Uterus

Shehata

Namoury

Heider

2016

Case Reports in Obstetrics and Gynecology

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Ectopic pregnancy occurs in about 1-2% in normal cycles but in IVF cycles the rate jumps to 4%. No definite cause for ectopic pregnancy was detected, but many risk factors were described as abnormal tube, pelvic infection, or surgery. In this case report we found 2 abnormalities in eight-year infertile woman; the first abnormality was bicornuate uterus and the second abnormality was the site of ectopic pregnancy which was in between the two horns of uterus. ‎This is the only case reported with primary abdominal pregnancy with bicornuate uterus and both healthy ovaries and tubes.‎ The case was unstable and managed by laparotomy and repair of ectopic site after enucleation of sac using Vicryl 2/0. The case was discharged 24 hours after operation in good health.

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“…12 MRI has also been used with success to diagnose abdominalpregnancy. 13 The extent of placental invasion, its relationship to the pelvic organs and the vascular supply could be more closely visualised by magnetic resonance imaging.…”

Section: Discussionmentioning

confidence: 99%

Secondary abdominal pregnancy following rupture of bicornuate uterus in early third trimester: a case report and review of literature

Katke

Raina

2013

Int J Reprod Contracept Obstet Gynecol

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Rupture uterus in a nulliparous woman is generally associated with mullerian anomalies and can present with acute obstetric emergency. It is a rare event and generally occurs in first or second trimester. Rupture of rudimentary horn in third trimester is extremely rare and can have adverse outcome for both mother and foetus. We describe a 24 years old primigravida patient with 28 weeks of gestation who came to casualty in gasping condition. She was having acute abdominal pain and distension with circulatory shock. Patient was immediately intubated and resuscitative measures started in casualty. Clinical and ultrasound findings suggestive of abdominal pregnancy and possibility of rupture of one horn of bicornuate uterus with haemoperitoneum. As patient was very critical resuscitative measures started and immediate laparotomy revealed abdominal pregnancy with dead foetus and ruptured right rudimentary horn with part of placenta adherent to omentum which was excised along with excision of rudimentary horn and placenta. Timely laparotomy with aggressive resuscitative measures saved the patients life. This case is extremely rare presentation of abdominal pregnancy in early third trimester and highlights the importance of early diagnosis of abdominal pregnancies and its timely management. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 454-457

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Advanced Abdominal Pregnancy: A Diagnostic and Management Dilemma

Cited by 16 publications

References 10 publications

Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

Rare Site of Ectopic Pregnancy in a Patient with Bicornuate Uterus

Secondary abdominal pregnancy following rupture of bicornuate uterus in early third trimester: a case report and review of literature

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