Full-term viable abdominal pregnancy: a case report and review

Badria, Layla Francis; Amarin, Zouhair; Jaradat, Ahmed; Zahawi, H. M.; Gharaibeh, Amer; Zobi, Ameera

doi:10.1007/s00404-002-0363-y

Cited by 42 publications

(30 citation statements)

References 13 publications

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“…Several full-term abdominal pregnancies have been reported. [46][47][48][49] The imaging findings are nonspecific in early gestational age, but in later gestational age the uterus appears empty and the fetus is seen in the maternal abdominal cavity. 50 …”

Section: Abdominal Ectopic Pregnancymentioning

confidence: 95%

Sonography in first trimester bleeding

Dighe

Cuevas

Moshiri

et al. 2008

J of Clinical Ultrasound

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Vaginal bleeding is the most common cause of presentation to the emergency department in the first trimester. Approximately half of patients with first trimester vaginal bleeding will lose the pregnancy. Clinical assessment is difficult, and sonography is necessary to determine if a normal fetus is present and alive and to exclude other causes of bleeding (eg, ectopic or molar pregnancy). Diagnosis of a normal intrauterine pregnancy not only helps the physician in terms of management but also gives psychologic relief to the patient. Improved ultrasound technology and high-frequency endovaginal transducers have enabled early diagnosis of abnormal and ectopic pregnancies, decreasing maternal morbidity and mortality. The main differential considerations of first trimester bleeding are spontaneous abortion, ectopic pregnancy, or gestational trophoblastic disease. This article reviews the causes of first trimester bleeding and the sonographic findings, including normal features of first trimester pregnancy.

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Section: Abdominal Ectopic Pregnancymentioning

confidence: 95%

Sonography in first trimester bleeding

Dighe

Cuevas

Moshiri

et al. 2008

J of Clinical Ultrasound

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show abstract

“…The bibliographies of those 8 articles were reviewed and an additional 24 articles were identified for review. After reading the additional 24 papers, another 5 articles were identified meeting the inclusion criteria, resulting in a total of 13 articles with a total of 30 cases [2,3,7,8,9,10,11,12,13,14,15,16,17]. An additional unpublished case that occurred at the University of Arkansas for Medical Sciences was included in the data set, making it a total of 31 cases (fig.…”

Section: Methodsmentioning

confidence: 99%

Late Abdominal Pregnancies (≥20 Weeks Gestation): A Review from 1965 to 2012

Hymel

Hughes

Gehlot

et al. 2015

Gynecol Obstet Invest

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Background: Information about the diagnosis and management of late abdominal pregnancies (≥20 weeks gestation) is limited to case reports and small case series. Methods: We performed a literature review of abdominal pregnancies ≥20 weeks gestation from 1965 to November 2012. Excluded were abdominal ectopic pregnancies that did not primarily implant in the peritoneal cavity, including tubal, ovarian, and intraligamentary pregnancies, and those prior to 20 weeks gestation. Results: The 31 cases identified were at 30.4 ± 7.4 weeks at diagnosis and 33 ± 8.3 weeks at delivery. The most common sites of placental implantation were uterus or adnexa (47.8%), bowel (30%), and the potential spaces surrounding the uterus (8.7%). There were 5 cases of an intra-abdominal abscess in the 14 patients in whom the placenta had been left in situ. Maternal outcomes were documented in 26 cases with 7 deaths; 27 fetal outcomes were documented in 22 cases with 3 fetal deaths (13.6%). Conclusion: An abdominal ectopic pregnancy is an uncommon but serious event and should be considered in all patients until intrauterine gestation is confirmed. Management should be undertaken by an experienced surgical team in a tertiary care facility.

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“…In Nigeria however; an incidence of 1 per 654 deliveries has been reported [7]. The maternal mortality rate of abdominal pregnancy has been reported to be 7.7 times higher than that of tubal pregnancy and 90 times higher than that of intrauterine pregnancy while the perinatal mortality rate is between 40% and 95% [8].…”

Section: Introductionmentioning

confidence: 99%

Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report

Giwa-Osagie¹

2016

JGO

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Abstract:Background: An abdominal pregnancy is a rare condition with high morbidity and mortality. Unlike most other ectopic pregnancies, it has a unique potential to progress to fetal viability. Reports abound of live births following spontaneously-conceived abdominal pregnancies but same cannot be said of those conceived via In vitro fertilization/Embryo transfer (IVF/ET). We report a case of an undiagnosed abdominal pregnancy following IVF/ET, which resulted in a live birth. Case presentation: A 50-year-old booked Gravida 2 Para 0 +1 lady with an IVF pregnancy was admitted at 28 weeks gestation based on complaints of vague abdominal pains. All Ultrasound scans performed prior to and after admission reported the pregnancy as intrauterine. While on admission, she developed preeclampsia which became severe necessitating an urgent abdominal delivery at 34 weeks. The 'urgent caesarean section' eventually became a laparotomy. A live female fetus weighing 2.4kg was extracted from the peritoneal cavity. The placenta which was implanted mainly on the omentum was resected and removed. Both the mother and her baby were discharged home in good conditions. Conclusion: An Abdominal pregnancy may occur following IVF/ET and be missed during antenatal care despite repeated ultrasound examinations. Clinicians must maintain a high index of suspicion for its occurrence.

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Full-term viable abdominal pregnancy: a case report and review

Abstract: A full-term abdominal pregnancy culminating in the birth of a live healthy baby by laparotomy is described.

Cited by 42 publications

References 13 publications

Sonography in first trimester bleeding

Sonography in first trimester bleeding

Late Abdominal Pregnancies (≥20 Weeks Gestation): A Review from 1965 to 2012

Advanced Abdominal Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report

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