Early primary abdominal pregnancy: Diagnosis and management. A case report

Hajji, Ahmed; Toumi, Dhekra; Laakom, Ons; Cherif, On; Faleh, Raja

doi:10.1016/j.ijscr.2020.07.048

Cited by 16 publications

(15 citation statements)

References 6 publications

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“…Monitoring serum beta-human chorionic gonadotropin levels is a useful marker for clinical suspicion of EP; however, it is not sufficient by itself to make the diagnosis of EP. In many cases, the diagnosis of AEP is not confirmed until a laparotomy or laparoscopy is performed due to suspicion of a tubal EP [3, 10, 14, 19, 21].…”

Section: Discussionmentioning

confidence: 99%

“…Diagnostic imaging methods include MRI and US. The latter can reach a sensitivity of 99% if used properly [13, 19, 21]. When observed during a US, an empty uterus with gestational sac separated from the uterus, adnexa, and ovaries should raise suspicion of AEP.…”

Section: Discussionmentioning

confidence: 99%

“…Surgery is the preferred procedure for AEP, and the best option is to remove the entire sac including fetus, membranes, and placenta [19]. Laparotomy is the preferred method in cases where there is a risk of hemorrhage; laparoscopic surgery may be chosen in cases that are diagnosed early and do not carry vascular risks [14, 21].…”

Section: Discussionmentioning

confidence: 99%

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Advanced Abdominal Ectopic Pregnancy with Subsequent Fetal and Placental Extraction: A Case Report

Zuñiga

Alas-Pineda²,

Reyes-Guardado

et al. 2022

Biomed Hub

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Abdominal ectopic pregnancy (AEP) occurs within the peritoneal cavity, outside the genital organs (uterus, tubes, ovaries). It is an unusual condition with an incidence that varies from 1:10,000 to 1:30,000 of all pregnancies worldwide. A 38-year-old primigravid patient was diagnosed in the second trimester with AEP. Pregnancy reached 35.6 gestational weeks, and the patient underwent surgery via laparotomy for extraction of the live fetus. Complete removal of the placenta was performed without maternal or fetal complications. AEP is an important cause of maternal and fetal death; the mortality rate in pregnant women with AEP is approximately 1–18%. Surgical intervention to deliver a baby in cases of AEP requires a multidisciplinary team, especially in countries with limited therapeutic options.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Advanced Abdominal Ectopic Pregnancy with Subsequent Fetal and Placental Extraction: A Case Report

Zuñiga

Alas-Pineda²,

Reyes-Guardado

et al. 2022

Biomed Hub

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“…Meanwhile, secondary implantation occurs after tubal rupture, tubal abortion, or uterine rupture. Secondary implantation is the most frequently occurring process in abdominal pregnancies [3,6]. In some cases, patients experienced a history of abdominal pain during the first trimester, and the uterus and both fallopian tubes were found intact.…”

Section: Discussionmentioning

confidence: 99%

“…Conceptual implantation in advanced abdominal pregnancy can take place in the omentum, ligamentum latum, abdominal organs, or blood vessels located in the abdomen and pelvis. The estimated occurrence of advanced abdominal pregnancy with live birth is about 1:10,000 to 1:30,000 from all pregnancies and 1% from ectopic pregnancy [1][2][3]. Advanced abdominal pregnancy occurs as a result of fertilization taking place in the abdominal cavity, tubal rupture, and tubal abortion.…”

Section: Introductionmentioning

confidence: 99%

Unexpected Advanced Abdominal Pregnancy from a Placenta Previa Suspicion: A Case Report

Yeni¹,

Novyan²

2021

IJRP

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Advanced abdominal pregnancy is a condition of pregnancy that continues beyond 20 weeks of gestational age in the abdominal cavity. Estimation of the case occurrence is between 1:10,000 to 1:30,000 live birth. This happens as a result of fertilization in abdominal cavity, tubal rupture, or tubal abortion. This condition causes a high morbidity and mortality rate in the mother and baby. We presented a case of a 41-year-old woman with G2P1 term pregnancy referred to our OBGYN clinic in Dr. Zainoel Abidin Hospital, Banda Aceh, from a regional hospital with morbidly adherent placenta previa with no suspicion to abdominal pregnancy. She had no history of antepartum hemorrhagic. The patient was put through several examinations and prepared for elective c-section to hysterectomy. After opening the peritoneum during C-Section, we had difficulty identifying the lower segment of the uteri. The amniotic membrane was covered with omentum. We incised the amniotic membrane and delivered a 3500gr, AS 8/9 male baby. Placental implantation was identified at the omentum, uterine fundus, and some of the pelvic wall. Bleeding was controlled and a large part of the placenta was evacuated adequately, but some part was left in the abdominal cavity. The patient's and the baby's condition were stable after the surgery and was discharged after the fifth day of hospitalization in a good condition. This case report provided insights that advanced abdominal pregnancy shows no typical symptom and is similar to placenta previa. Its diagnosis at an advanced gestational age is apparently more challenging. Some cases were able to be diagnosed preoperatively, but most other cases were only diagnosed intraoperatively.

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