Does Primary Omental Pregnancy Exist?

Berghella, Vincenzo; Wolf, Susan C.

doi:10.1159/000291922

Cited by 39 publications

(35 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There were 25 reports from 24 different references of an abdominal pregnancy being primarily implanted on the omentum [42,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115]. The patient’s average age at initial presentation was 27 (range 13–36) with the average gestational age at diagnosis of 7 weeks and 2 days (range 4–16 weeks) and parity of 1.3.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Poole¹,

Haas

Magann

2012

Gynecol Obstet Invest

131

145

View full text Add to dashboard Cite

Objective: To define abdominal ectopic pregnancy outcomes by both location and treatment. Methods: Literature review of abdominal pregnancies from 1965 to August of 2009. Ectopic pregnancy exclusions were interstitial, tubal, cervical, ovarian, or those beyond 20 weeks at diagnosis/treatment. Results: There were 511 cases identified with 225 meeting the inclusion criteria. There were 7 maternal deaths (3.0%) with 18 (8%) of the early abdominal ectopic pregnancies occurring with an intrauterine device in place. Mean gestational age at the time of treatment was 10 weeks 0 days and mean maternal age was 29.7 years. The average blood loss associated with treatment was 1,450 ml. The top three sites of early abdominal ectopic pregnancies were pouches around the uterus (24.3%), serosal surface of the uterus and tubes (23.9%), and multiple sites (12.8%). Primary surgical management was performed in 208 cases (87.8%). Nonsurgical adjuvant or primary therapy included intramuscular methotrexate, intralesional methotrexate, intracardiac KCl, and artery embolization. Conclusion: Abdominal pregnancies should be considered in all patients until an intrauterine location can be confirmed. Understanding treatment options by pregnancy location may be helpful in the management of this potentially life-threatening condition.

show abstract

Section: Resultsmentioning

confidence: 99%

“…All 25 patients presented with abdominal pain with 3 of the patients having pain in the epigastrium [94,111,113]. Additionally, 7 patients complained of nausea and/or vomiting [94,95,96,100,109,113,114]. …”

Section: Resultsmentioning

confidence: 99%

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Poole¹,

Haas

Magann

2012

Gynecol Obstet Invest

131

145

View full text Add to dashboard Cite

show abstract

“…Because of differences in placental anatomy, it is probably even impossible for them to develop a primary abdominal pregnancy (Segura Gil et al 2004;Corpa 2006). Histologically, trophoblastic growth or neovascularisation into the supporting tissue are characteristics of a primary abdominal pregnancy (Berghella and Wolf 1996). A secondary abdominal pregnancy is a condition in which a foetus enters the abdominal cavity because of rupture of the uterine wall, usually as a result of trauma or injury (Hajurka et al 2005;Corpa 2006).…”

Section: Discussionmentioning

confidence: 99%

“…Histological evidence of placentation, an extrauterine foetus, and rupture of uterine structures are required to differentiate primary and secondary abdominal pregnancies (Corpa 2006). All cases lacking histological evidence of trophoblastic growth or neovascularisation should be classified as secondary abdominal pregnancies (Berghella and Wolf 1996).…”

Section: Discussionmentioning

confidence: 99%

Secondary abdominal pregnancy with foetal mummification diagnosed using computed tomography in a dog: a case report

Myung¹,

Lee²,

Kim³

et al. 2016

Vet. Med. - Czech

View full text Add to dashboard Cite

An intact female Maltese dog, rescued two months previously, and weighing 2.7 kg, was presented for ovariohysterectomy. There were no typical clinical signs and evidences of parturitions. A firm abdominal mass was palpated, which was identified as a round-shaped radiopaque mass in survey radiography. The mass was tentatively diagnosed as an extrauterine foetus with mummification on computed tomography (CT). Surgical removal of the mass and ovariohysterectomy were performed. Histopathological examination yielded a final diagnosis of abdominal ectopic pregnancy.

show abstract

“…It was an answer to a previous doubt about the existence of a true omental pregnancy [23]. In 2004, laparoscopic treatment of an abdominal pregnancy was reported, where the gestational sac was noticed in the Douglas pouch [24].…”

Section: Discussionmentioning

confidence: 98%

Minimally invasive management of 14–16-week abdominal ectopic with hemoperitoneum: an emergency laparoscopic procedure

Rizk

Salem

2015

Gynecol Surg

View full text Add to dashboard Cite

Since the first laparoscopic cholecystectomy on a pregnant lady in 1991, a plethora of articles and case studies have been published addressing laparoscopy and their role in pregnancy. The Royal College of Obstetricians and Gynecologists Green-top Guidelines recommends laparoscopic surgery as the preferred approach in early ectopic tubal pregnancies. Laparoscopic versus laparotomy management of abdominal ectopic is a traumatic experience both on physical and emotional levels. The case study was a 36-year-old gravida 2 para 0 patient, previously normal pregnant lady, in which the follow-up ultrasound revealed moderate hemoperitoneum at 14-16 weeks of gestation. Upon urgent diagnostic laparoscopy, massive hemoperitoneum was detected despite no clinical signs of hemodynamic instability. Uterus was found to be within the normal measurements consistent with the nonpregnant state. Multiple myomas were clearly seen in the uterine wall. A fetus of 14-16 weeks was detected attached to the colon during formal laparoscopic pelvic and abdominal exploration for ectopic pregnancy. Operative laparoscopy for abdominal ectopic in skillful hands can be considered a feasible management technique carrying all the advantages of a minimally invasive procedure.

show abstract

Does Primary Omental Pregnancy Exist?

Cited by 39 publications

References 5 publications

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Secondary abdominal pregnancy with foetal mummification diagnosed using computed tomography in a dog: a case report

Minimally invasive management of 14–16-week abdominal ectopic with hemoperitoneum: an emergency laparoscopic procedure

Contact Info

Product

Resources

About