Advanced abdominal pregnancy: Diagnosis and management. Case report and review of the literature

Authors

  • Julie Angélica Mora-Enríquez
  • Mortimer Arreaza-Graterol
  • Hugo Hernán Nossa-Moreno
  • Jorge Augusto Rodríguez-Ortiz

DOI:

https://doi.org/10.18597/rcog.53

Keywords:

Abdominal pregnancy, ectopic pregnancy

Abstract

Objective: To report a case of advanced abdominal pregnancy and conduct a review of the literature on the diagnosis, management and prognosis of this condition.

Materials and methods: A case of advanced abdominal pregnancy seen at the Mother and Child Care Unit of Hospital Simón Bolívar, a Level III public hospital in Bogotá, Colombia. A search was conducted in the medical literature through the Medline via PubMed and Lilacs databases, using the MeSH terms "abdominal pregnancy" and "ectopic pregnancy". The search was limited to the English and Spanish languages, and to the time period between 1940 and 2013.

Results: A total of 22 articles directly related to the topic were found, 14 of which were included in the review: 1 review article, 2 case series report, 9 case reports and 2 letters to the editor. Conclusion: An abdominal pregnancy close to term is an infrequent obstetric situation that may result in severe problems for the mother and the foetus. The ideal scenario is an early diagnosis and immediate termination.

Author Biographies

Julie Angélica Mora-Enríquez

Médica General, Universidad Tecnológica de Pereira. Residente de Tercer año de Ginecología y Obstetricia, Universidad de La Sabana, Hospital Universitario de La Samaritana, Bogotá (Colombia)

Mortimer Arreaza-Graterol

Especialista en Ginecología y Obstetricia, Universidad del Bosque. Especialista en Medicina Materno Fetal, Fundación Universitaria de Ciencias de la Salud. Profesor Ad Honorem Posgrado Ginecología y Obstetricia, Universidad de La Sabana, Unidad de Medicina Materno Fetal, Hospital Simón Bolívar, Bogotá (Colombia)

Hugo Hernán Nossa-Moreno

Especialista en Ginecología y Obstetricia, Universidad del Rosario. Ginecólogo oncólogo, Instituto Nacional de Cancerología. Profesor Titular, Posgrado Ginecología y Obstetricia, Universidad del Bosque, Unidad de Oncología Ginecológica, Hospital Simón Bolívar, Bogotá (Colombia)

Jorge Augusto Rodríguez-Ortiz

Especialista en Ginecología y Obstetricia, Universidad del Bosque. Epidemiólogo Clínico, Universidad del Bosque. Profesor Titular, Posgrado Ginecología y Obstetricia, Universidad del Bosque. Profesor Ad Honorem Posgrado Ginecología y Obstetricia, Universidad de La Sabana, Unidad de Medicina Materno Fetal, Hospital Simón Bolívar, Bogotá (Colombia)

References

Kevin C, Hnat M, Cunningham F. Advanced extrauterine pregnancy: diagnostic and therapeutic challenges. Am J Obstet Gynecol. 2008;198: 297. e1-297.e7.

Masukume G, Sengurayi E, Muchara A, Mucheni E, Ndebele W, Ngwenya S. Full-term abdominal extrauterine pregnancy complicated by post-operative ascites with successful outcome: a case report. Journal of Medical Case Reports. 2013;7:10.

Fylstra DL. Ectopic pregnancy not within the distal fallopian tube: etiology, diagnosis, and treatment. Am J Obstet Gynecol. 2012;206:289-99.

Shippey S, Bhoola S, Royek A, Long M. Diagnosis and Management of Hepatic Ectopic Pregnancy. Obstet Gynecol. 2007;109:544-46.

Atrash HK, Friede A, Hogue CJ. Abdominal pregnancy in the United States: frequency and maternal mortality. Obstet Gynecol. 1987;69:333-7.

Rahaman J, Berkowitz R, Mitty H, Gaddipati S, Brown B, Nezhat F. Minimally invasive management of an advanced abdominal pregnancy Obstet Gynecol. 2004;103:1064-8.

Díaz M. Embarazo abdominal a término: reporte de un caso. Rev Colomb Obstet Ginecol. 2002;53:93-5.

Iregui C, Borbón A, Cerquera F, García C. Litopedio. Diagnóstico por TC multicorte: reporte de un caso. Rev Colomb Radiol. 2009;20:2594-7.

Graham D, Johnson T, Sanders R. Sonographic findings in abdominal precnancy. J Ultrasound Med. 1982;1:7-14.

Koroglu M, Kayhan A, Soylu F, Erol B, Schimid-Tannawald C, Gurses C, et al. MR imaging of ectopic pregnancy with an emphasis on unusual implantation sites. Jpn J Radiol. 2013;31:75-80.

Zhang J, Li F, Sheng Q. Full-term abdominal pregnancy: a case report and review of the literature. Gynecol Obstet Invest. 2008;65:139-41.

Anderson P, Opfer E, Busch J, Magann E. An Early Abdominal Wall Ectopic Pregnancy Successfully Treated with Ultrasound Guied Intralesional Methotrexate: A Case Report. Obstet Gynecol Int. 2009;2009:247452.

Rahman MS, Al-Suleiman SA, Rahman J, Al-Sibai M. Advanced abdominal pregnancy—observations in 10 cases. Obstet Gynecol. 1982;59:366-72.

Norzilawati M, Shuhaila A, Siraj H, Mahdy Z, Rashid Z. Advanced Abdominal Pregnancy Resulting from Late Uterine Rupture. Obstet Gynecol. 2008;111:502-4.

Roberts R, Dickinson J, Leung Y, Charles A. Advanced abdominal pregnancy: still an occurrence in modern medicine. Aust N Z J Obstet Gynaecol. 2005;45: 518-21.

How to Cite

1.
Mora-Enríquez JA, Arreaza-Graterol M, Nossa-Moreno HH, Rodríguez-Ortiz JA. Advanced abdominal pregnancy: Diagnosis and management. Case report and review of the literature. Rev. colomb. obstet. ginecol. [Internet]. 2014 Sep. 30 [cited 2024 May 18];65(3):256-61. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/53

Downloads

Download data is not yet available.

Published

2014-09-30
QR Code

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views

Some similar items: