Peritoneal pregnancy with massive hemoperitoneum in early gestation: two case reports

Miyauchi, Azumi; Yamada, Mitsutoshi; Furuya, Masataka; Matsumura, Satoko; Murayama, Shinji; Yoshimura, Yasunori; Tanaka, Mamoru

doi:10.1002/ccr3.266

Cited by 4 publications

(7 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The current case presented with massive intraperitoneal bleeding at even earlier gestational age. Miyauchi, et al described two cases of AP associated with massive hemoperitoneum at 5 weeks of gestation, whose implantation sites were the vesicouterine pouch, as occurred in the present case 24 . They also claimed that severe abdominal bleeding in early gestation, such as at 5 weeks, may imply the presence of a peritoneal pregnancy, since omental pregnancy and peritoneal pregnancy implanted on the uterosacral ligament are also known to cause massive bleeding in early gestation.…”

Section: Discussionsupporting

confidence: 57%

Spontaneously conceived heterotopic pregnancy with abdominal pregnancy implanted on the vesicouterine pouch: A case report and literature review

Ozawa

Shibata

Mitsui

et al. 2021

J of Obstet and Gynaecol

View full text Add to dashboard Cite

We report the case of a 36‐year‐old woman with spontaneously conceived heterotopic pregnancy with abdominal pregnancy. She visited the hospital at 5 weeks and 4 days of gestation and transvaginal ultrasonography revealed a normal intrauterine pregnancy. Two days later, she was urgently transported to the hospital due to extreme abdominal pain. Emergent laparotomy was performed to investigate the cause of massive intraperitoneal bleeding, which was confirmed to have been due to an abdominal pregnancy that implanted on the vesicouterine pouch. The hematic mass, including chorionic villi, was successfully removed from the peritoneum. The subsequent course of the intrauterine pregnancy was uneventful and a healthy baby was born at term. To the best of our knowledge, this is an extremely rare case report of a spontaneously conceived heterotopic abdominal pregnancy, in which the intrauterine pregnancy showed a successful outcome despite the collapse of the abdominal pregnancy at a very early stage.

show abstract

Section: Discussionsupporting

confidence: 57%

Spontaneously conceived heterotopic pregnancy with abdominal pregnancy implanted on the vesicouterine pouch: A case report and literature review

Ozawa

Shibata

Mitsui

et al. 2021

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…Herein, we reported a primary abdominal pregnancy on the posterior surface of uterus with massive hemopritoneum at early stage of gestation. In previous studies, cases of massive hemoperitoneum associated with abdominal pregnancy before 7 weeks of gestation were rare, which were reported in the omentum, the uterosacral ligament, and the vesicouterine peritoneum [ 6 – 8 ]. These cases suggest that the implantation site may affect the onset of bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…Making an early diagnosis of early stage of AEP is so challenging that it is usually missed out or misdiagnosed due to the non-specific signs and symptoms [ 8 ]. The mean gestational age at the time of treatment of AEP is reportedly 10 weeks [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Abdominal ectopic pregnancy following a frozen embryo transfer cycle: a case report

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Abdominal ectopic pregnancy (AEP) is a rare form of ectopic pregnancy. As the number of in-vitro fertilization (IVF) procedures continues to increase, the incidence of AEP will also rise. However, the rarity and atypical presentation of AEP make early diagnosis challenging. Case presentation Herein, we report an AEP following frozen-thawed embryo transfer (FET) in an artificial cycle. The patient was misdiagnosed with implantation failure when the serum human chorionic gonadotropin (hCG) level was detected as 2.59mIU/ml at fourteenth day after embryo transfer. Therefore, she was suggested to stop luteal phase support. However, a ruptured AEP was developed 33 days following embryo transfer, which was diagnosed by laparoscopic surgery. Conclusions The case highlighted the delayed serum β-hCG and massive intraperitoneal hemorrhage may be clues to make early diagnosis of AEP. Clinicians must attach great importance to close monitoring and bear in mind the possibility of abdominal pregnancy.

show abstract

“…Tubal pregnancies are the most common form of EP with an incidence of 95 %, followed by implantation sites in the cervix, the ovary and the abdominal cavity [3]. Non-tubal EP are reported to have a 7-8 times higher risk of maternal mortality compared to tubal pregnancies [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Mit 95% ist die Tubargravidität die häufigste EUG, daneben kommen Implantationen in der Zervix, im Ovar oder im Abdominalraum vor 3 . Für nicht tubare EUG wurde im Vergleich zur Eileiterschwangerschaft ein 7- bis 8-fach höheres maternales Mortalitätsrisiko angegeben 4 , 5 .…”

Section: Introductionunclassified

Rare Ectopic Pregnancies – A Literature Review for the Period 2007 – 2019 on Locations Outside the Uterus and Fallopian Tubes

Eisner

Ebert²,

David

2020

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

The majority of ectopic pregnancies (EP) are tubal pregnancies, but other implantation sites outside the uterus and tubes are also found. These rare EP locations present a particular diagnostic and therapeutic challenge. We present an overview of potential very rare locations of ectopic pregnancies, their symptoms, diagnosis and treatment, based on a systematic analysis of case reports. A literature review of the databases PubMed, Livivo and Google Scholar for the period 2007 to 2019 was carried out. A total of 113 publications were included in our review. These studies describe EP implantations in the posterior cul-de-sac, on the uterine serosa and uterine ligaments, in the vicinity of almost all intraperitoneal organs, on the abdominal wall as well as in retroperitoneal sites. The most common presenting symptom was abdominal pain occurring in different locations. The diagnostic procedures included various imaging procedures and/or explorative surgery at different advanced stages of pregnancy. The most common and preferred option was laparotomy for surgical treatment. The placenta was successfully resected in the majority of cases. A rare EP location should be considered when making a differential diagnosis in patients of child-bearing age with abdominal pain.

show abstract

Peritoneal pregnancy with massive hemoperitoneum in early gestation: two case reports

Abstract: Key Clinical MessagePeritoneal pregnancy may cause severe abdominal bleeding without genital bleeding as early as the fifth week of gestation. Awareness that pregnancy can exist in unusual locations is imperative.

Cited by 4 publications

References 32 publications

Spontaneously conceived heterotopic pregnancy with abdominal pregnancy implanted on the vesicouterine pouch: A case report and literature review

Spontaneously conceived heterotopic pregnancy with abdominal pregnancy implanted on the vesicouterine pouch: A case report and literature review

Abdominal ectopic pregnancy following a frozen embryo transfer cycle: a case report

Rare Ectopic Pregnancies – A Literature Review for the Period 2007 – 2019 on Locations Outside the Uterus and Fallopian Tubes

Contact Info

Product

Resources

About