Imaging in the Management of Abdominal Pregnancy: A Case Report and Review of the Literature

Bertrand, G; Ray, Camille Le; Simard-Émond, Laurence; Dubois, Josée; Leduc, Line

doi:10.1016/s1701-2163(16)34055-5

Cited by 47 publications

(51 citation statements)

References 23 publications

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“…There were 54 cases of pregnancies implanted on the uterus or adnexa [2,24,28,34,42,44,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75]. The average maternal age was 29.6 years, with gestational age of 11 weeks 2 days and parity of 0.8.…”

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

134

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%

“…Six patients with implantation on the uterus required hysterectomy [34,53,74]. Uterine artery or internal iliac artery embolization was used in 1 patient preoperatively [52] and 1 patient postoperatively [65]. None of these pregnancies underwent medical therapy (intramuscular or intralesional methotrexate and/or intracardiac KCl).…”

Section: Resultsmentioning

confidence: 99%

Early Abdominal Ectopic Pregnancies: A Systematic Review of the Literature

Poole¹,

Haas

Magann

2012

Gynecol Obstet Invest

134

145

View full text Add to dashboard Cite

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“…Whenever an abdominal pregnancy is identified, MR imaging should be done to provide maximal information concerning placental implantation. 5 In our patient, initially a diagnosis of abdominal pregnancy was missed by both clinical findings and ultrasonography.…”

Section: Discussionmentioning

confidence: 61%

An Interesting Case of Term Viable Secondary Abdominal Pregnancy : A Case Report

Swain

Behuria

Satpathy

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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“…However, some argue, that leaving the placenta in situ can result in rapid placental destruction, leading to accumulation of necrotic debris and promotion of bacterial infection. 14,17 It may be advisable to remove placenta if its blood supply can be secured, if diagnosis is made in early pregnancy or fetal demise is of > 4 weeks duration.…”

Section: Discussionmentioning

confidence: 99%