Search

Heterotopic pregnancy after bilateral salpingectomy is an extremely rare complication of in vitro fertilisation/embryo transfer cycles. We report a case of a ruptured abdominal pregnancy on the omentum which was the stimulus to conduct the first systematic review on this complication according to 'PRISMA' guidelines (PROSPERO R.No CRD42020134104). PubMed, EMBASE and OpenAIRE databases were systematically reviewed for studies reporting (a) cases or case series of, (b) heterotopic pregnancies after, (c) prior bilateral salpingectomy, and (d) embryo transfer cycles. Twenty-two articles met the selection criteria including, with our case, 28 cases. Based on the results, clinical manifestations and laboratory findings can be unspecific or misleading. Transvaginal ultrasound is the main diagnostic tool as the ectopic foetus is more frequently located in the intramural part of the fallopian tubes, the tubal stump or the ovaries. Laparotomy or laparoscopy are the main treatment options with adequate perinatal outcome. [ABSTRACT FROM AUTHOR]

A rare case of abdominal pregnancy, diagnosed by ultrasound at 14 weeks' gestation, was managed conservatively resulting in the delivery of a viable infant at 32 weeks who survived. Details of the natural history, subsequent pregnancy course and perinatal and maternal outcomes in this case are presented. [ABSTRACT FROM AUTHOR]

Discusses the case of a female patient with an abdominal pregnancy. Signs and symptoms; Finding of computed tomography and ultrasound; Risk factors for abdominal pregnancy.

Reviews 12 cases of advanced abdominal pregnancy managed at Khartoum teaching hospital, Khartoum University, Sudan, over a period of five years. Perinatal mortality rate; Number of infants with pressure deformities; Lithopedion cases.

Examines the difficulties in diagnosis in advanced abdominal pregnancy. Management of three cases of advanced abdominal pregnancy in Tertiary Referral Centres in Great Britain; Risks for mother and child; Ultrasound features in 20 cases of abdominal pregnancy.

The article presents a case study of a woman who underwent Caesarean delivery for term abdominal pregnancy. The woman had a 4-day history of inability to appreciate fetal movement. She was prepared for elective caesarean delivery. Abdominal pregnancy was confirmed when on opening the peritoneum, the fetus was seen through its gestational sac.

The article reflects on the critical evaluation concerning laparoscopy and transviginal ultrasound (TVS) as diagnostic tools in determining tubal ectopic pregnancy. The author stresses that like laparoscopy, ultrasound does not present 100% sensitivity to diagnose tubal ectopic pregnancy. He emphasizes that laparoscopy should be used as an operative interventional tool in diagnosing tubal ectopic pregnancy, which should be based on the positive visualization of an adnexal mass using TVS.

Reports on the case of ovarian ectopic pregnancy. Medical history of a 28-year-old woman admitted in the gynaecological emergency unit of the hospital with right lower abdominal pain; Results of a transvaginal scan on the patient; Wedge resection of the right ovary.

This article focuses on secondary abdominal pregnancy associated with uterine fibroid. Abdominal pregnancy is rare, representing 1% of all ectopic pregnancies. A 29-year-old woman was admitted through the Accident and Emergency department with a 5-day history of lower abdominal pain. An ultrasound was performed and confirmed a viable pregnancy that appeared to be intrauterine with a crown-rump length equivalent to 10+6 weeks. In addition, 1 15 cm homogenous mass could be seen behind the uterus and appeared to be either a fibroid or an ovarian cyst. The MR scan confirmed that there was no intrauterine pregnancy but a gestational sac measuring 6 cm anterior to the uterine fundus that contained a now non-viable fetus.

The article presents a case study of a 32-year-old woman suffering from pelvic pain and amenorrhea who was taken for a laparoscopic surgery for broad ligament pregnancy. Topics discussed include diagnosis of ectopic pregnancy, symptoms of abdominal pregnancy, and intraoperative management of ectopic risks.

Reports the successful management of the case of an infertile primigravid woman who had a laparotomy ar 39 weeks and was found to have an abdominal term pregnancy. Safe delivery of the live baby; Discontinuation of attempts to remove the placenta due to blood loss; Observations on clotting function, on the fate of the placenta, by serial plasma estimations and by serial ultrasonic scans.

In order to evaluate the shock index in predicting a ruptured ectopic pregnancy in a Nigerian obstetric population, a prospective observational study of consecutive pregnant women presenting to the emergency room of the University of Nigeria Teaching Hospital, Enugu with complaints of abdominal pain and/or vaginal bleeding in the first trimester of pregnancy over a 23-month period (1 February 2003 to 31 December 2004) was carried out. A total of 152 subjects were studied. Of these, 15 (9.9%) of the women had ruptured ectopic pregnancy while the rest had other causes of bleeding in early pregnancy. The mean shock index for ruptured ectopic pregnancy was significantly different from that for threatened abortion ( p 0.05 for both categories). The areas under the relative operating characteristic (ROC) curves for shock index and heart rate were statistically significant ( p 0.05 for the three variables). From the curves, the cut-offs that combined highest sensitivity with lowest false positivity (1-specificity) were 0.935 for the shock index and 99 bpm for heart rate. On univariate logistic regression, the odds ratio (OR) for predicting ruptured ectopic pregnancy was 52.9 (95% CI = 10.9 – 257.3, p [ABSTRACT FROM AUTHOR]

Abdominal pregnancy is a rare entity with a reported frequency of one in 3372 deliveries to one in 10 200 deliveries (Stafford and Ragan, 1977). Although it classically presents in the form of an ectopic pregnancy with pain, transvaginal bleeding and amenorrhoea, it often remains undiagnosed. This is not unrelated to the rarity of the disease and an occasional deviation from this presentation. This case illustrates one such diagnostic difficulty. [ABSTRACT FROM AUTHOR]

Highlights a gynecological case report on a woman who has abdominal pregnancy which is an unusual form of ectopic gestation. Description of the transvaginal ultrasound of the patient; Result of the primary abdominal ectopic pregnancy diagnosis; Conclusion.

Discusses the case of combined intrauterine and abdominal pregnancy resulting in fetal death. Patient condition; Emergency surgery performed to remove the dead embryos; Review of reported cases.

The article presents a case of a 31-year-old woman presented to the Accident and Emergency department with a 1-week history of lower abdominal pain. On a vaginal examination, the patient was non-tender with no palpable adnexal masses. The patient's histopathological examination shows omental tissue containing blood clot, chorionic villi, and trophoblastic tissue. Abdominal pregnancy accounts for 1 in 10, 000 of all pregnancies and omental pregnancy is the least common.

This article focuses on the study of primary abdominal pregnancy implanted on the sigmoid colon, conducted at the Department of Obstetrics and Gynaecology, Royal Glamorgan Hospital, Wales and Department of Pathology, Royal Glamorgan Hospital. A 22-year-old woman in her third pregnancy was admitted as an emergency. She presented with lower abdominal pain radiating to rectum and shoulders and with constipation for two days. There was no vaginal bleeding. Urine pregnancy test was positive. Abdominal pregnancies constitute a tiny proportion of ectopic pregnancy and are less than one in 10000 pregnancies.