Heterotopic Twin Delivery of Live Infants

Omentum pregnancy resulting in severe hemoperitoneum: Lessons learned from a review of the literature along with a case report

“…Omentum pregnancy is a rare type of abdominal pregnancy, which is itself a rare presentation. Pregnancy of the omentum is a rare subset of abdominal pregnancy that can only be diagnosed during surgery, 1 – 25 as the location of the ectopic embryo can only be determined at this time. Ectopic pregnancies can be dangerous and may cause a large amount of abdominal bleeding.…”

“…Many undiagnosed abdominal pregnancies occur due to a lack of ultrasound in early pregnancy. 10 , 17 , 19 , 25 Accurate diagnosis of abdominal and omentum pregnancies is difficult, and the exact location of an ectopic embryo can usually only be determined at the time of surgery.…”

“… 27 In other case reports, in which the diagnosis and treatment of the omentum pregnancies were delayed, the ectopic fetus survived to the third trimester of pregnancy and the mother gave birth to a live newborn via laparotomy. 17 , 19 However, there have been only a few cases that have resulted in a live infant. Abdominal pregnancies in the second or third trimester are extremely dangerous with poor pregnancy outcomes and prompt exploratory laparotomy is required.…”

“…A few cases of omentum pregnancy have been reported in the literature. 1 – 25 It is known that abdominal pregnancy often results in severe hemoperitoneum. 2 , 3 , 7 , 10 , 13 , 15 , 18 This current case report describes a female patient with a second-trimester pregnancy in which the embryo was implanted in the omentum and the patient presented with severe hemoperitoneum.…”