Laparoscopic Management of Abdominal Pregnancy

Cosentino, Francesco; Rossitto, Cristiano; Turco, Luigi Carlo; Alletti, Salvatore Gueli; Vascone, Carmine; Meglio, Lavinia Di; Scambia, Giovanni; Malzoni, Mario

doi:10.1016/j.jmig.2017.01.023

Cited by 22 publications

(25 citation statements)

References 3 publications

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“…Expectant management to gain the fetal maturity has been attempted and has been successful in a few cases, however adequate counselling must be offered to parents and a very close monitoring of the pregnancy is necessary [ 9 ]. If the diagnosis is in the first trimester, laparoscopy is an option; however, this treatment must be avoided in case of involvement of vascular surface [ 10 ]. Methotrexate therapy has a low success rate, possibly due to advanced gestational age at the time of diagnosis [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

A secondary abdominal pregnancy with unusual placental implantation in the fallopian tube: a diagnostic challenge

et al. 2018

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We reported a case of secondary abdominal pregnancy with placental implantation into the fallopian tube, diagnosed at 16 weeks, in a woman admitted to the emergency room complaining of syncopal attacks. The best approach would be termination of the pregnancy, taking into consideration the high risk to the mother and the low possibility of alive and healthy birth. We had to perform an urgent surgical intervention due to the fact that the patient was in a clinically unstable condition, which was related to hemoperitoneum. If placental implantation is on abdominal organs or vessel the best approach would be to ligate the cord and to leave placenta in situ. Taking into consideration the place of placental implant, the removal of the fallopian tube with the placenta was the safest approach in this case. The best and most acceptable form of treatment would be individualized in case of rare form of ectopic pregnancy.

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Section: Introductionmentioning

confidence: 99%

A secondary abdominal pregnancy with unusual placental implantation in the fallopian tube: a diagnostic challenge

et al. 2018

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“…The incidence in natural pregnancy is 1/30, 000 [6], ovulation induction is 1/900, and assisted reproductive technology is 1/100 [7], while maternal mortality is 5/1,000,000 [8]. Abdominal pregnancy is a rare ectopic pregnancy, accounting for 1% of ectopic pregnancies [9], and the incidence is 1/10,000~1/3000 [10,11]. Abdominal pregnancy was reported in the Douglas pouch of the pelvis, serous layer of the uterus, appendages, abdominal organs, liver, omentum, intestine, appendix, retroperitoneal space, abdominal wall, etc.…”

Section: Discussionmentioning

confidence: 99%

Rare heterotopic pregnancy after frozen embryo transfer: a case report and literature review

Zhang

Chen³

et al. 2020

BMC Pregnancy Childbirth

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Background Heterotopic pregnancy occurred after frozen embryo transfer with two D3 embryos, and the case had a history of bilateral salpingectomy due to salpingocyesis. An ectopic heterotopic pregnancy was implanted in the left psoas major muscle, which has not been previously reported. Case presentation A 33-year-old woman presented with left back pain after curettage due to foetal arrest in the uterus without vaginal bleeding and spotting, and painkillers relieved the pain initially. When the painkillers ceased to work, the patient returned to the hospital. The β-human chorionic gonadotropin (β-hCG) level remained increased compared with the time of curettage, and a diagnosis of retroperitoneal abdominal pregnancy was suggested by ultrasonography and computerized tomography (CT) with the gestational sac implanted in the left psoas major muscle at the left hilum level. Laparotomy was performed to remove the ectopic pregnancy. During the operation, we carefully separated the adipose tissue between the space of the left kidney door and left psoas major muscle, peeled away the gestational sac that was approximately 50 mm × 40 mm with a 25-mm-long foetal bud, and gave a local injection of 10 mg of methotrexate in the psoas major muscle. Fifty days later, β-hCG decreased to normal levels. Conclusion It is necessary to pay more attention to the main complaints to exclude rare types of ectopic pregnancies of the pelvis and abdomen after embryo transfer.

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“…Abdominal pregnancy is a rare type of ectopic pregnancy with an incidence of 1:10 000 to 1:30 000 women 1 . Several different locations have been reported, including the pouch of Douglas, pelvic sidewall, bowel, broad ligament, omentum, and spleen 2,3 . Most abdominal pregnancies are diagnosed after presenting with various complications; however, in a few cases it may remain asymptomatic and is rarely established before surgery 4 .…”

Section: Figurementioning

confidence: 99%