A 30-year review of advanced abdominal pregnancy at the Mater Misericordiae Hospital, Afikpo, southeastern Nigeria (1976–2006)

Sunday-Adeoye, Ileogben; Twomey, D; Egwuatu, Emeka V.; Okonta, Patrick I.

doi:10.1007/s00404-009-1260-4

Cited by 51 publications

(67 citation statements)

References 24 publications

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“…La placenta fue removida quirúrgicamente en 42 casos y de estos, dos requirieron histerectomía (17,20) o salpingooforectomía unilateral (15,21), siendo la hemorragia la principal complicación (13-16, 18, 20-22, 24, 25, 29-33, 36, 37, 39-42, 44, 45, 47, 49, 51, 52). En dos de los casos no se mencionó el manejo de la placenta dado que se trató de un hallazgo post mortem (35,45).…”

Section: Resultsunclassified

“…Los resultados maternos se documentaron en 73 de los casos. Ocurrieron tres (4,11 %) muertes maternas siendo la causa la hemorragia masiva (33,35,45). En 60 de los casos se reportaron complicaciones maternas, siendo las más comunes el sangrado (moderado a severo) en 38 (63,33 %) de los casos y, consecuentemente, el requerimiento de transfusiones sanguíneas en 30 (50 %) de ellos, estas se presentaron en su mayoría en la remoción de la placenta (13-17, 19-25, 28-31, 33-38, 40, 41, 44-48).…”

Section: Resultsunclassified

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Embarazo ectópico abdominal avanzado: reporte de casos y revisión de la literatura

Escobar-Vidarte

Caicedo-Herrera

Solarte-Erazo

et al. 2017

Rev. Colomb. Obstet. Ginecol.

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RepoRte de caso Rev Colomb Obstet Ginecol 2017;68:71-82 RESUMENObjetivo: reportar dos casos de embarazo ectópico abdominal avanzado, con buen resultado materno / perinatal, y revisar la literatura disponible con respecto al manejo de la placenta y el pronóstico de esta entidad. Materiales y métodos: se describen dos casos de embarazo ectópico abdominal avanzado en los que se realizó extracción de la placenta, con feto viable y resultado perinatal favorable. Estos fueron atendidos en una institución de cuarto nivel de complejidad, Recibido: junio 14/16 -Aceptado: marzo 3/17 ubicada en la ciudad de Cali, Colombia. Se realizó una revisión de la literatura registrada en las bases de datos Medline vía PubMed, con los términos de búsqueda: "embarazo abdominal", "embarazo esplénico", "embarazo hepático", "embarazo omental" y "embarazo peritoneal". La búsqueda se limitó a artículos publicados durante los últimos doce años en inglés y español. Resultados: se recuperaron 228 referencias, de las cuales 42 artículos cumplieron con los criterios de inclusión que informan un total de 74 pacientes con embarazo ectópico abdominal. En cuanto al manejo de la placenta, la remoción de la misma se informó en 42 casos (58%). La mortalidad materna se presentó en 4 casos (4,1%), todos por hemorragia posparto. Un total de 60 pacientes (81%) presentaron complicaciones, la más frecuente fue hemorragia en 38 de ellas (51%). En cuanto al resultado perinatal, se encontró una mortalidad perinatal del 43%. Conclusión: el manejo de la placenta es el punto clave del que podría depender la frecuencia de complicaciones maternas. Se requieren estudios prospectivos que evalúen el manejo más seguro y efectivo de esta condición. Palabras clave: embarazo abdominal, embarazo ectópico, hemorragia, resultado del embarazo. ABSTRACTObjective: Report two cases of advanced ectopic abdominal pregnancy with good maternal/perinatal outcomes, and to review the literature available regarding the management of the placenta and the prognosis for this condition. Materials and methods: Description of two cases of advanced ectopic abdominal pregnancies with viable fetuses and favourable perinatal outcomes, in which the placenta was removed. The cases were seen at a Level IV institution in the city of Cali, Colombia. Review of the literature registered in the Medline data base via Pubmed using the search terms "abdominal pregnancy", "splenic pregnancy", "hepatic pregnancy", "omental pregnancy" and "peritoneal pregnancy". The search was limited to articles published in English and Spanish during the past 12 years. Results: Overall, 228 references were retrieved, of which 42 articles reporting on a total of 74 patients with ectopic abdominal pregnancy met the inclusion criteria. Regarding the management of the placenta, it was removed in 42 cases (58%). There were 4 cases of maternal mortality (4,1%) all of them due to postpartum bleeding. Complications occurred in 60 patients (81%), bleeding being the most frequent in 38 of them (51%). As for perinatal outcome, peri...

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Section: Resultsunclassified

Embarazo ectópico abdominal avanzado: reporte de casos y revisión de la literatura

Escobar-Vidarte

Caicedo-Herrera

Solarte-Erazo

et al. 2017

Rev. Colomb. Obstet. Ginecol.

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“…In Nigeria, abdominal pregnancy accounts for 34 per 100,000 pregnancies [10] probably due to the increased incidence of pelvic inflammatory disease.…”

Section: Discussionmentioning

confidence: 99%

“…In a study from SouthEastern Nigeria, even though the majority of the women were lost to follow-up over the years; of the five women that were successfully followed up, only two (40%) had subsequent childbirth [35].…”

Section: Discussionmentioning

confidence: 99%

Outcome of Management of 5 Cases of Abdominal Pregnancies

Ojabo¹,

Hembah-Hilekaan²,

Audu³

et al. 2015

OALib

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Abdominal pregnancies are rare; however, they are still frequently missed pre-operatively. This presents diagnostic and treatment dilemma especially in resource-constrained settings where CT-scan and MRI are not readily available for accurate diagnosis. Five cases of abdominal pregnancies were managed over an eighteen-year period. In 2 cases, the condition was diagnosed preoperatively. The age range of the patients was from 32 to 36 years with a mean of 32.4 years. All 5 patients recovered fully; 4 required at least 2 units of blood transfusion; the placenta was left behind in 1 case; 1 required methotrexate to enhance placental resorption. One patient had recurrent intestinal obstruction and eventually had laparotomy and release of thick bands of adhesion. Two patients had conceived at least once each following treatment. Abdominal pregnancies present serious diagnostic and management dilemma especially in low resource settings. A high index of suspicion and prompt laparotomy can be life-saving. There is little information known about future fertility after abdominal pregnancy.

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“…[21] A report from Nigeria places the frequency in that country at 34 per 100,000 deliveries and a report from Zimbabwe, 11 per 100,000 deliveries. [5][22] [23] The maternal mortality rate is estimated to be about 5 per 1,000 cases, about seven times the rate for ectopics in general, and about 90 times the rate for a delivery (1987 US data). [21] History Albucasis (936-1013), an Arab Muslim physician is credited with first recognizing abdominal pregnancy which was apparently unknown to Greek and Roman physicians and was not mentioned in the writings of Hippocrates; Jacopo Berengario da Carpi (1460-1530) the Italian physician is credited with the first detailed anatomical description of abdominal pregnancy.…”

Section: Differential Diagnosismentioning

confidence: 99%

Insights into abdominal pregnancy

Masukume¹

2014

Wiki J Med

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A 30-year review of advanced abdominal pregnancy at the Mater Misericordiae Hospital, Afikpo, southeastern Nigeria (1976–2006)

Cited by 51 publications

References 24 publications

Embarazo ectópico abdominal avanzado: reporte de casos y revisión de la literatura

Embarazo ectópico abdominal avanzado: reporte de casos y revisión de la literatura

Outcome of Management of 5 Cases of Abdominal Pregnancies

Insights into abdominal pregnancy

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