Magnetic resonance imaging of a third trimester abdominal pregnancy

Murphy, William D.; Feiglin, David; Cisar, Claudia C.; Al-Malt, Ahmed; Bellon, Errol M.

doi:10.1016/0730-725x(90)90146-s

Cited by 20 publications

(12 citation statements)

References 6 publications

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“…Ultrasound is an easy and quick method of confirming the gestational location. It is currently the imaging method of choice although, with the presence of gas within the gastrointestinal tract and distorted pelvic anatomy, sonographic interpretation may be difficult especially in advanced cases [4]. Placement of an intrauterine Foley catheter bulb to aid sonographic diagnosis has been described and reported in a case report with successful preoperative diagnosis of advanced abdominal pregnancy [5].…”

Section: Discussionmentioning

confidence: 99%

Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed Diagnosis

Mforteh

Tchakounte²,

Sama

et al. 2018

Case Reports in Obstetrics and Gynecology

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Background There are increasing reports of term live abdominal pregnancies even though the diagnosis of abdominal pregnancy is made preoperatively only in 45% of cases which partly explains the high maternal and perinatal morbidity and mortality associated with abdominal pregnancy. Case Report We report a rare case of misdiagnosed term abdominal pregnancy complicated by fetal demise due to cord round neck in a 29-year-old G3P2002 at 39-week and 1-day gestation. She noticed reduced fetal movements for which upon examination fetal death was diagnosed. Cervical ripening was started which eventually failed, and surgery was indicated. Findings were an abdominal pregnancy with a third-degree macerated fetus with cord round neck. She was discharged on day 8 postoperation to continue follow-up as an outpatient with regular βHCG and ultrasound checks. Conclusion This case illustrates the need to effectively confirm an intrauterine location of a pregnancy even in a case of fetal demise and the need to monitor for cord abnormalities in advanced abdominal pregnancy being managed expectantly.

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Section: Discussionmentioning

confidence: 99%

Induction of Labour in Advanced Abdominal Pregnancy with Fetal Demise due to Cord Round Neck: A Case Report of a Missed Diagnosis

Mforteh

Tchakounte²,

Sama

et al. 2018

Case Reports in Obstetrics and Gynecology

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show abstract

“…US usually shows echogenic homogeneous or heterogeneous round or elongated solid structure outside but in proximity to the ovary, indicating haematosalpinx in the early stage. MRI shows a mass of variable T1 and heterogeneous T2 signals relative to myometrium because of mixed blood of different age, ascites and enhanced wall of a dilated fallopian tube 12–15 . Case 2 illustrates the limitation of US in an obese woman with ruptured tubal pregnancy and haematoma.…”

Section: Discussionmentioning

confidence: 99%

“…MRI shows a mass of variable T1 and heterogeneous T2 signals relative to myometrium because of mixed blood of different age, ascites and enhanced wall of a dilated fallopian tube. [12][13][14][15] Case 2 illustrates the limitation of US in an obese woman with ruptured tubal pregnancy and haematoma. The ectopic abdominal pregnancy likely resulted from previous rupture of a tubal preg-nancy that extended into the peritoneal cavity.…”

Section: Discussionmentioning

confidence: 99%