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[Late abdominal pregnancy. A case report].

A case of 29 weeks gestation abdominal pregnancy is reported as an illustration to a study of that rare gestation mostly occurring in developing countries. Most abdominal pregnancies are secondary. The most common clinical signs are the abdominal pain and uncomfort. The physical signs arise the suspicion of abdominal pregnancy which is confirmed by ultrasound. Most authors don't delay the surgical procedure after the diagnosis. The placenta is mostly often left in situ and mostly. No methotrexate is administered to improve the placenta involution. The abdominal pregnancy is of very bad fetal prognosis and very at risk for the pregnant woman.

Adolescent↗
PubMed1999

[Early primary abdominal pregnancy treated by laparoscopy].

Our study describes abdominal pregnancy in 28-years old woman. Patient was admitted to Gynecological Surgery Department of Polish Mother's Memorial Hospital in Lódź with lasting for a few hours strong abdominal pain. We carried out detailed diagnostics, that showed the main importance of beta-human chronic gonadotropin level monitoring and helpful role of the ultrasonography study in abdominal pregnancy diagnosis. This woman was treated by laparoscopy that surely confirmed the diagnosis and allowed for total cure.

Adult↗
PubMed1996

Abdominal pregnancy following in vitro fertilization in a patient with previous bilateral salpingectomy.

BACKGROUND: We present the first case of abdominal pregnancy after in vitro fertilization and embryo transfer in a patient without oviducts. CASE: A 38-year-old woman, who previously had had two salpingectomies because of two tubal pregnancies, was admitted to our department with intermittent vaginal bleeding and abdominal pain, 21 days after embryo transfer. Exploratory laparotomy revealed a moderate amount of blood in the peritoneal cavity and a mass consisting of blood clots and tissue fragments attached to the posterior aspect of the right broad ligament. Pathologic examination confirmed the diagnosis of abdominal pregnancy. CONCLUSION: Abdominal pregnancy may be the outcome of embryo transfer and should hence be considered a potential complication of the procedure.

Adult↗
PubMed2002

Embolization for advanced abdominal pregnancy with a retained placenta. A case report.

BACKGROUND: Abdominal pregnancy is not encountered commonly, and management of the placenta is controversial. CASE: A 33-year-old woman presented with an abdominal pregnancy at 33 weeks' gestation with fetal death. The placental vasculature was embolized preoperatively. Following operative delivery. of the fetus, the placenta was left in situ in efforts to preserve fertility given its implantation on the reproductive organs. The patient suffered prolonged postoperative ileus but otherwise did well. Placental function ceased after two months. CONCLUSION: Placental vasculature embolization is a management option for a retained placenta associated with abdominal pregnancy.

Adult↗