Managing a Live Advanced Abdominal Twin Pregnancy

Mpogoro, FJ; Gumodoka, Balthazar; Kihunrwa, Albert; Massinde, AN

doi:10.4103/2141-9248.109472

Cited by 13 publications

(13 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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). Otras complicaciones menos frecuentes fueron la infección, 11 (18,33 %) (23,33,34,38,46,48,51); la necesidad de cirugía adicional, 9 (15 %) (13,14,17,20,21,23,28,34,38); el requerimiento de empaquetamiento o control de daños, 4 (6,67 %) (13,23,34); la obstrucción intestinal, 3 (5 %) (15,33); la placenta retenida, 3 (5 %) (49) y, finalmente, la ascitis, 2 (3,33 %) (36,50). Es importante aclarar que estas complicaciones no son excluyentes entre sí, y una misma paciente podía presentar más de una.…”

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.

View full text Add to dashboard Cite

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...

show abstract

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.

View full text Add to dashboard Cite

show abstract

“…9 Also, extremely rare cases of heterotopic advanced abdominal twin pregnancy with the other twin in utero 10 and an advanced abdominal twins pregnancy with an empty uterus have been reported. 11 Diagnosis and management of advanced abdominal pregnancy are still a challenge. Vigilance and careful assessment of the patient's symptoms supplemented with imaging studies are crucial for the timely diagnosis of this rare obstetric occurrence and preventing life-threatening complications.…”

Section: Discussionmentioning

confidence: 99%

Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases

Harirah

Smith

Dixon

et al. 2016

AJP Rep

View full text Add to dashboard Cite

Advanced abdominal pregnancy is an extremely rare condition that poses diagnostic and management challenges. A high index of suspicion and careful assessment of the patient's symptoms, supplemented with obstetric ultrasound, and magnetic resonance imaging, are crucial for timely diagnosis and management to prevent life-threatening complications. The presence of periviable fetuses in advanced abdominal pregnancies increases the challenge to achieve a balance between maternal and fetal benefits and risks. Early diagnosis and management decisions via a multidisciplinary approach and planned delivery are of paramount importance to minimize complications and achieve favorable maternal and fetal outcomes. Even in the setting of oligohydramnios and suspected preterm premature rupture of membranes, in-patient conservative management and an individualized planned surgical approach that includes removing or leaving the placenta in place are appropriate for managing the periviable abdominal pregnancy.

show abstract

“…Other reported sites include ovary, broad ligament, cervix and the interstitial part of the uterus . Abdominal and cesarean scar twin ectopic pregnancy and occurrence as heterotropic pregnancy with a coexisting intrauterine pregnancy have also been described . The risk factors include infertility treatment, pelvic infection and tubal surgery.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7][8] Abdominal and cesarean scar twin ectopic pregnancy and occurrence as heterotropic pregnancy with a coexisting intrauterine pregnancy have also been described. [9][10][11] The risk factors include infertility treatment, pelvic infection and tubal surgery. Clinical presentation is typical of ectopic pregnancy, that is, amenorrhea, vaginal bleeding and abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Twin tubal pregnancy: A large unruptured ectopic pregnancy

Goswami

Agrawal

Arora

2015

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Twin ectopic pregnancy is a rare occurrence, with an estimated incidence of 1 in 20 000 spontaneous pregnancies. We describe a case of unilateral twin ectopic pregnancy in which the gravid fallopian tube showed no signs of tubal rupture despite marked tubal distension. A 25-year-old woman presented with clinical features suggestive of large right-sided tubal ectopic pregnancy. Serum β-human chorionic gonadotropin was 10 800 IU/mL. Laparotomy revealed markedly distended right fallopian tube. There was no hemoperitoneum. The tube contained twin gestational sacs. The crown-rump length of the embryos was 2 cm. The ectopic gestation was thus unique, in that despite marked tubal distension, the trophoblastic invasion was not significant to cause tubal rupture. There may be a role for medical management based on individual gestational sac size in selected cases of twin tubal pregnancy in which there is no evidence of hemoperitoneum.

show abstract

Managing a Live Advanced Abdominal Twin Pregnancy

Cited by 13 publications

References 4 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

Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases

Twin tubal pregnancy: A large unruptured ectopic pregnancy

Contact Info

Product

Resources

About