Abdominal pregnancy: Methods of hemorrhage control

Kunwar, Shipra; Khan, Tahir Ullah; Srivastava, Kumkumrani

doi:10.5582/irdr.2015.01006

Cited by 15 publications

(13 citation statements)

References 18 publications

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“…The parietal peritoneum, mesentery and bowel are the usual sites where the placenta attached firmly, and there is no bleeding if it is left untouched [ 14 ]. In such cases the umbilical cord should be ligated close to the placenta, excess membranes trimmed off and the abdomen closed with drainage [ 14 , 15 ]. Sometimes, the placenta may separate spontaneously simulating an abruption, but the conditions in which hemorrhage becomes uncontrollable is more likely to arise from failed attempts at placental removal [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Sometimes, the placenta may separate spontaneously simulating an abruption, but the conditions in which hemorrhage becomes uncontrollable is more likely to arise from failed attempts at placental removal [ 14 ]. Placental separation is not always straightforward and it may fail in up to 40% of cases [ 15 ]. The hemorrhage from the placental separation may be torrential and rapid surgical action is necessary to salvage the woman’s life [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Placental separation is not always straightforward and it may fail in up to 40% of cases [ 15 ]. The hemorrhage from the placental separation may be torrential and rapid surgical action is necessary to salvage the woman’s life [ 15 ]. Various local techniques can be used to stop bleeding in such cases.…”

Section: Discussionmentioning

confidence: 99%

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Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

Hailu¹,

Yihunie

Essa

et al. 2017

BMC Pregnancy Childbirth

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BackgroundAbdominal pregnancy may account for up to 1.4% of all ectopic pregnancies. The incidence of abdominal pregnancy differs in various literatures and ranges between 1:10,000 pregnancies to 1:30, 000 pregnancies. The clinical symptoms of an uncomplicated abdominal pregnancy are unspecific. There are reports of maternal and fetal survival from advanced abdominal pregnancies.Case presentationOur case was a 26 years old gravida 4, para 3 (2 alive, one early neonatal death) woman. She presented to Felegehiwot Referal Hospital with a principal complaint of vomiting, epigastric pain, headache, and blurring of vision. Emergency cesarean delivery was decided with the impression of bicornuate uterus with intrauterine pregnancy, intrauterine growth restriction and sever preeclampsia.it was found to be advanced abdominal pregnancy. Placenta was removed and pack was used to control bleeding. Both the mother and neonate were discharged in a good condition.ConclusionAbdominal pregnancy with live fetus is an extremely rare condition and requires a high index of suspicion. Endometrial cavity may not be required for development of severe preeclampsia and packing is effective in controlling bleeding in selected cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

Hailu¹,

Yihunie

Essa

et al. 2017

BMC Pregnancy Childbirth

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“…The incidence in natural pregnancy is 1/30,000 [ 6 ], ovulation induction is 1/900, and assisted reproductive technology is 1/100 [ 7 ], while maternal mortality is 5/1,000,000 [ 8 ]. Abdominal pregnancy is a rare ectopic pregnancy, accounting for 1% of ectopic pregnancies [ 9 ], and the incidence is 1/10,000 ~ 1/3000 [ 10 , 11 ]. Abdominal pregnancy was reported in the Douglas pouch of the pelvis, serous layer of the uterus, appendages, abdominal organs, liver, omentum, intestine, appendix, retroperitoneal space, abdominal wall, etc.…”

Section: Discussionmentioning

confidence: 99%

Rare heterotopic pregnancy after frozen embryo transfer: a case report and literature review

Zhang

Chen³

et al. 2020

BMC Pregnancy Childbirth

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Background Heterotopic pregnancy occurred after frozen embryo transfer with two D3 embryos, and the case had a history of bilateral salpingectomy due to salpingocyesis. An ectopic heterotopic pregnancy was implanted in the left psoas major muscle, which has not been previously reported. Case presentation A 33-year-old woman presented with left back pain after curettage due to foetal arrest in the uterus without vaginal bleeding and spotting, and painkillers relieved the pain initially. When the painkillers ceased to work, the patient returned to the hospital. The β-human chorionic gonadotropin (β-hCG) level remained increased compared with the time of curettage, and a diagnosis of retroperitoneal abdominal pregnancy was suggested by ultrasonography and computerized tomography (CT) with the gestational sac implanted in the left psoas major muscle at the left hilum level. Laparotomy was performed to remove the ectopic pregnancy. During the operation, we carefully separated the adipose tissue between the space of the left kidney door and left psoas major muscle, peeled away the gestational sac that was approximately 50 mm × 40 mm with a 25-mm-long foetal bud, and gave a local injection of 10 mg of methotrexate in the psoas major muscle. Fifty days later, β-hCG decreased to normal levels. Conclusion It is necessary to pay more attention to the main complaints to exclude rare types of ectopic pregnancies of the pelvis and abdomen after embryo transfer.

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“…Abdominal pregnancy refers to ectopic pregnancies in sites except the oviduct, ovary, and broad ligament. Its incidence ranges from 1/10 000 to 1/30 000, and splenic pregnancy is a particularly rare type of abdominal pregnancy, where the oosperm plants in the spleen. If not diagnosed early, the results of splenic pregnancy would almost certainly be splenic rupture, which is equivalent to spontaneous rupture of the spleen.…”

Section: Discussionmentioning

confidence: 99%

Case of spontaneous splenic rupture caused by ectopic pregnancy in the spleen

Zhu

Jiang

et al. 2017

J of Obstet and Gynaecol

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Splenic ectopic pregnancy refers to the implantation of the oosperm in the spleen. If not diagnosed early, the results of this phenomenon would almost certainly be splenic rupture, which is equivalent to the spontaneous rupture of the spleen. If the patient has no history of trauma, it is difficult to diagnose this condition early and an explicit diagnosis is often obtained by exploratory laparotomy. We report the case of a 27-year-old woman who was admitted to the hospital due to abdominal pain and hemorrhagic shock. Under emergency general anesthesia, gynecologist and hepatobiliary surgeons worked together to conduct an exploratory laparotomy. It was confirmed during surgery that this was ectopic pregnancy in the spleen, which caused rupture of the spleen. Hence, splenectomy was conducted. Postoperative recovery was good.

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Abdominal pregnancy: Methods of hemorrhage control

Cited by 15 publications

References 18 publications

Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report

Rare heterotopic pregnancy after frozen embryo transfer: a case report and literature review

Case of spontaneous splenic rupture caused by ectopic pregnancy in the spleen

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