A Rare Case of Secondary Abdominal Pregnancy that Resulted in a Healthy Newborn

Jain, Vaishali; Jain, Sonal; Jain, Shuchi; Raghuwanshi, Jitendra

doi:10.1007/s13224-012-0305-y

Cited by 2 publications

(4 citation statements)

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“…Ectopic pregnancy occurs in roughly 1-2% of all pregnancies with 95% of them occurring in the fallopian tube [1]. Only 1% of all ectopics are thought to manifest in the abdomen.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of an Ectopic Pregnancy in the Pouch of Douglas and a Review of Abdominal Ectopic Pregnancies

Gabbott¹,

Verasingam²

2019

JCR

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Introduction: It is predicted that the prevalence of abdominal ectopic pregnancy ranges between 1:10,000 to 1:30,000 pregnancies. Maternally mortality is high, at an estimated 5-18%. In this report, we detail a case of an ectopic pregnancy implanted in the pouch of Douglas secondary to tubal abortion. Case Report: A 29 year old pregnant female presented to Accident & Emergency with a 12 hour history of severe, constant right iliac fossa pain and vaginal bleeding. Patient had severe tenderness in the right adnexa. Her beta human chorionic gonadotropin serum level was 31,382 IU/L. Ultrasound scan revealed a mass next to the uterus. A provisional diagnosis of an ectopic pregnancy was made. Ovarian malignancy and gestational trophoblastic disease were also considered. Diagnostic laparoscopy revealed large complex mass in the pouch of Douglas which was removed. She recovered well following the surgery. Conclusion: Ultrasound remains the gold standard for investigating an ectopic pregnancy or to rule out other differentials that can clinically present in the same manner. However, as only 50% accuracy can be assumed when diagnosing an early abdominal ectopic with ultrasound, a high index of suspicion is required. A diagnostic laparoscopy is invaluable in diagnosis and management of an ectopic pregnancy.

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“…Ectopic pregnancy occurs in roughly 1-2% of all pregnancies with 95% of them occurring in the fallopian tube [1]. Only 1% of all ectopics are thought to manifest in the abdomen.…”

Section: Discussionmentioning

confidence: 99%

“…It is predicted that the prevalence of abdominal ectopic pregnancy ranges between 1:10,000 to 1:30,000 pregnancies [1]. Maternally mortality is high, at an estimated 5-18% [1].…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of an Ectopic Pregnancy in the Pouch of Douglas and a Review of Abdominal Ectopic Pregnancies

Gabbott¹,

Verasingam²

2019

JCR

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“…Estudos de ressonância nuclear magnética (RNM) computadorizada (TC) podem colaborar para o diagnóstico em gestações mais avançadas. Níveis elevados de alfa-fetoproteínas podem estar associados a gravidez abdominal, principalmente 11 No caso citado, a diagnóstico, tendo sido este realizado apenas após um exame mais detalhado e com suspeição diagnóstica devido a presença de apresentação anômala do feto, fundo uterino abaixo do esperado e dor abdominal.…”

Section: Discussionunclassified

“…Podendo ser necessário nova laparotomia exploradora. 11 Em alguns casos, pode ser necessário a remoção da placenta para melhor controle hemodinâmico. Todo procedimento deve ser realizado em centro cirúrgico caso a caso e irá depender da expertise do cirurgião.…”

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Gravidez abdominal de 37 semanas com neonato saudável: relato de caso

2018

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RESUMOGravidez abdominal é uma forma rara de gravidez ectópica com elevada morbidade e mortalidade para a mãe e o feto. O diagnóstico onde o acompanhamento pré-natal é precário. Neste estudo, os autores apresentam o caso de uma paciente de 40 anos, atendida em ou secundária segundo sua origem. As principais complicações maternas são sangramentos graves, fístulas intestinais e sepse. O feto pode apresentar malformações como assimetria craniofacial, deformidade de membros e sistema nervoso central. Quando realizado o diagnóstico precoce com menos de 20 semanas, pode ser orientado a interrupção da gestação ou um parto precoce, com Palavras-chave: Gravidez abdominal. Nascimento a termo. Gravidez ectópica. ABSTRACTAbdominal pregnancy is a rare form of ectopic pregnancy with high mortality to both mother and fetus. The diagnosis can be hard due the presence of symptoms. The cases occur specially in centers with poor resources, and prenatal care is limited. At this article, the authors present the case of a 40 years old patient with abdominal pregnancy of 37 weeks and symptoms. The diagnosis was made previously to birth with ultrasound exam, where we found the presence of a healthy fetus externally to the uterus. A healthy newborn was delivered by abdominal birth. The main maternal complications are of limbs and central nervous system. When an early diagnosis is made, it may be advised to interrupt the pregnancy when it is less than 20 weeks old and an early delivery, at 34 weeks, when the diagnosis is made after 20 weeks gestation.

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A Rare Case of Secondary Abdominal Pregnancy that Resulted in a Healthy Newborn

Cited by 2 publications

References 1 publication

A Rare Case of an Ectopic Pregnancy in the Pouch of Douglas and a Review of Abdominal Ectopic Pregnancies

A Rare Case of an Ectopic Pregnancy in the Pouch of Douglas and a Review of Abdominal Ectopic Pregnancies

Gravidez abdominal de 37 semanas com neonato saudável: relato de caso

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