Secondary abdominal appendicular ectopic pregnancy

Nama, Vivek; Gyampoh, Bright; Karoshi, Mahantesh; McRae, Reynold; Opemuyi, Isaac

doi:10.1016/j.jmig.2007.02.005

Cited by 13 publications

(7 citation statements)

References 11 publications

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“…The 15 abdominal pregnancies [2,24,36,37,44,80,116,117,119,120,121,122,123,124] of the bowel and appendix were treated mainly by laparotomy except 2 cases successfully treated with laparoscopy alone [37,116]. The average maternal age was 32 with a parity of 1.46 and gestational age of 7 weeks 4 days.…”

Section: Resultsmentioning

confidence: 99%

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Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Poole¹,

Haas

Magann

2012

Gynecol Obstet Invest

129

145

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Objective: To define abdominal ectopic pregnancy outcomes by both location and treatment. Methods: Literature review of abdominal pregnancies from 1965 to August of 2009. Ectopic pregnancy exclusions were interstitial, tubal, cervical, ovarian, or those beyond 20 weeks at diagnosis/treatment. Results: There were 511 cases identified with 225 meeting the inclusion criteria. There were 7 maternal deaths (3.0%) with 18 (8%) of the early abdominal ectopic pregnancies occurring with an intrauterine device in place. Mean gestational age at the time of treatment was 10 weeks 0 days and mean maternal age was 29.7 years. The average blood loss associated with treatment was 1,450 ml. The top three sites of early abdominal ectopic pregnancies were pouches around the uterus (24.3%), serosal surface of the uterus and tubes (23.9%), and multiple sites (12.8%). Primary surgical management was performed in 208 cases (87.8%). Nonsurgical adjuvant or primary therapy included intramuscular methotrexate, intralesional methotrexate, intracardiac KCl, and artery embolization. Conclusion: Abdominal pregnancies should be considered in all patients until an intrauterine location can be confirmed. Understanding treatment options by pregnancy location may be helpful in the management of this potentially life-threatening condition.

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Section: Resultsmentioning

confidence: 99%

“…The average maternal age was 32 with a parity of 1.46 and gestational age of 7 weeks 4 days. Five patients were transfused [117,118,119,123,124] with an average blood loss of 1,160 ml. Two patients had an IUD in place [36,123].…”

Section: Resultsmentioning

confidence: 99%

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Poole¹,

Haas

Magann

2012

Gynecol Obstet Invest

129

145

View full text Add to dashboard Cite

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“…It has been previously recognised that a right tubal pregnancy can illicit an inflammatory response in the appendix resulting in a secondary acute periappendicitis [2]. Ectopic deciduosis can also cause acute appendicitis during pregnancy; however, direct implantation of an ectopic pregnancy on the appendix as in this case is extremely rare with only one previously reported case indentified in the literature [3]. …”

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confidence: 87%

A rare pathological trinity: an appendiceal ectopic pregnancy, acute appendicitis and a carcinoid tumour

Thompson

Hawe

2009

Ir J Med Sci

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“…1 An estimated incidence is 1 in 8,000 births and 1.4 % of whole an ectopic pregnancies. 2 The most common implanting of abdominal pregnancy is Pouch of Douglas , but very rarely it may implant in the upper abdomen. 3 However, implantation on other abdominal organs such as spleen, liver, and appendix is also reported.…”

Section: Introductionmentioning

confidence: 99%

“…3 However, implantation on other abdominal organs such as spleen, liver, and appendix is also reported. 4,5 Therefore the diagnosis of abdominal pregnancy, Studdiford's criteria description include: a) Typical normal both side fallopian tubes and ovaries b) No utero-pertonial fistula…”

Section: Introductionmentioning

confidence: 99%