Laparoscopic Removal of an Abdominal Pregnancy in the Pelvic Sidewall

Barel, Oshri; Suday, Ramy Rahamim; Stanleigh, Jonathan; Pansky, Moty

doi:10.1016/j.jmig.2018.12.020

Cited by 11 publications

(14 citation statements)

References 3 publications

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“…Broad ligament pregnancy is also called interligamentous pregnancy. It is a rare, life-threatening form of ectopic abdominal pregnancy and accounts for approximately 1% of all the ectopic pregnancies [2][3]. Most cases of broad ligament ectopic pregnancies reported in the literature are in the first or early second trimester; however, the term broad ligament pregnancy case report has been reported by Deneke [14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

“…It occurs in 2% of all pregnancies, with 95% of the cases occurring in the fallopian tube [1]. Abdominal pregnancy is a rare type of ectopic pregnancy, with a reported 1 , 2 3 3 3, 4 Open Access Case Report DOI: 10.7759/cureus.8276 incidence of 1:10,000 to 1:30,000 pregnancies [2]. It could be life-threatening with maternal mortality eight times greater than the usual tubal ectopic pregnancies [3][4].…”

Section: Introductionmentioning

confidence: 99%

“…It could be life-threatening with maternal mortality eight times greater than the usual tubal ectopic pregnancies [3][4]. Fortunately, abdominal ectopic pregnancies account for only approximately 1% of the ectopic pregnancies [2][3].…”

Section: Introductionmentioning

confidence: 99%

“…Abdominal pregnancy is reported in the literature at different anatomic sites, including the broad ligament, the pouch of Douglas, pelvic sidewall, spleen, bowel, omentum, and at different gestational ages [2,[5][6][7]. The location of the abdominal pregnancy could be close to the major pelvic vessels and anatomic structures, like the ureter and bowel, hence, can cause massive hemorrhage and maternal morbidity.…”

Section: Introductionmentioning

confidence: 99%

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Ruptured Right Broad Ligament Ectopic Pregnancy in a Patient With Prior Right Salpingo-Oophorectomy: A Case Report

Azhar¹,

Green²,

Mohammadi³

et al. 2020

Cureus

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Ectopic pregnancy can be a life-threatening cause of acute abdomen. Broad ligament pregnancy accounts for 1% of ectopic abdominal pregnancies and complications can be calamitous. This case report highlights a 27-year-old G2P0010 female who presented with amenorrhea and acute right lower quadrant and pelvic pain. By last menstrual period (LMP), she was at seven weeks and two days gestation. Her past surgical history was significant for a prior right salpingooophorectomy. The physical examination was significant for severe right lower quadrant tenderness with guarding. The urine pregnancy test was positive with the serum quantitative beta-human chorionic gonadotrophin (Beta hCG) of 28011 MIU/ML (normal range <5 MIU/ML). The transvaginal ultrasonography demonstrated an empty uterus and a gestational sac containing a fetal pole in the right adnexal area. The crown-rump length was 7.2 mm, consistent with six weeks and four days, with a positive fetal heart rate and moderate free fluid in the cul-de-sac. The patient was taken for immediate diagnostic laparoscopy, which was converted to open laparotomy due to active bleeding from the right broad ligament and pelvic wall close to large pelvic vessels. In addition to the hemoperitoneum, intraoperative findings revealed a normal left fallopian tube and ovary and absent right fallopian tube and ovary. Right ureterolysis was done and hemostasis of the bleeding broad ligament and right pelvic sidewall was established. An adherent tissue was dissected from the right broad ligament and sent to pathology. The patient did well postoperatively. The final pathology showed an ectopic pregnancy with immature chorionic villi in the broad ligament. The diagnosis of ectopic pregnancy in the broad ligament is challenging. The location could be close to the major pelvic vessels and anatomic structures like the ureter and bowel, hence, it can cause massive hemorrhage with maternal morbidity and mortality. Diagnosis is often missed preoperatively and made intraoperatively. Hence, we emphasize that this differential be considered in reproductive-aged women who present with atypical presentations of acute abdomen and amenorrhea.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ruptured Right Broad Ligament Ectopic Pregnancy in a Patient With Prior Right Salpingo-Oophorectomy: A Case Report

Azhar¹,

Green²,

Mohammadi³

et al. 2020

Cureus

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“…Barel et al detected abdominal pregnancy in a patient with a β-hCH level of 24,856 IU / L. They preferred laparoscopic resection. The gestational sac was completely dissected and removed following ureterolysis and separation of the right ureter from the specimen [10].…”

Section: Discussionmentioning

confidence: 99%

Importance Of Laparoscopy In Abdominal Ectopic Pregnancy Treatment: A Case Report

Balıkoğlu

Bayraktar

Saygılı³

et al. 2020

Aegean J Obstet Gynecol

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Abdominal pregnancy is a rare form of ectopic pregnancy. maternal deaths due to an abdominal ectopic pregnancy are 8 times higher than tubal ectopic pregnancy. Greater awareness is required in the diagnosis and treatment of abdominal pregnancy. Thirtyseven years old and the multiparous patient who was admitted to the emergency room with the findings of the acute abdomen. In the evaluation, ectopic pregnancy focus was not detected clearly in the patient who had bleeding in the abdomen. In the laparoscopic surgery of the patient who was hypotensive, abdominal pregnancy in the posterior surface of uterine was resected successfully. Due to abdominal pregnancy can be observed on the surface of the spleen, omentum and appendix, the laparoscopic approach should be preferred in the treatment because it provides a wide field of vision.

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The Value of Ultrasonography in the Diagnosis of Abdominal Pregnancy

Zhu,

Zong,

Gao

2024

J of Clinical Ultrasound

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ObjectivesAnalyze the clinical and ultrasound characteristics of 15 cases of abdominal pregnancy (AP) to improve the ultrasonography‐based diagnosis.MethodsA retrospective research of AP patients from 2010 to 2021 with pathology was performed, clinical and ultrasound characteristics were analyzed and summarized.ResultsFifteen cases of AP occurred in early pregnancy. Most cases of AP were implanted in the pelvic cavity, with a few on the greater omentum and diaphragm, etc. Eight cases showed mixed hyperechoic, four cases had gestational sacs, and three cases exhibited mixed hypoechoic.ConclusionCombined with the characteristics of AP, ultrasound can provide a valuable diagnosis.

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Laparoscopic Removal of an Abdominal Pregnancy in the Pelvic Sidewall

Cited by 11 publications

References 3 publications

Ruptured Right Broad Ligament Ectopic Pregnancy in a Patient With Prior Right Salpingo-Oophorectomy: A Case Report

Ruptured Right Broad Ligament Ectopic Pregnancy in a Patient With Prior Right Salpingo-Oophorectomy: A Case Report

Importance Of Laparoscopy In Abdominal Ectopic Pregnancy Treatment: A Case Report

The Value of Ultrasonography in the Diagnosis of Abdominal Pregnancy

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