Primary abdominal pregnancy with a viable fetus: clinical case of successful management
| Title: | Primary abdominal pregnancy with a viable fetus: clinical case of successful management |
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| Authors: | S. Donel, Munawar Adhar Lubis, Citra Utami Effendy |
| Source: | Сеченовский вестник, Vol 15, Iss 3, Pp 58-64 (2024) |
| Publisher Information: | Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Medicine (General) |
| Subject Terms: | ectopic pregnancy, transabdominal ultrasound, magnetic resonance imaging, laparotomy, surgical intervention, multidisciplinary approach, Medicine (General), R5-920 |
| More Details: | Abdominal pregnancy, occurring outside typical intrauterine locations, poses substantial risks to maternal health due to the potential for severe bleeding from placental detachment. Despite its rarity, accounting for 1–1.5% of ectopic pregnancies, its mortality rates are significantly higher, with maternal mortality ranging from 2% to 30%.Case report. A 42-year-old woman, pregnant with her third pregnancy at 33 weeks, was admitted to the hospital with abdominal pain. All antenatal visits were performed without the use of ultrasound. Utilizing ultrasound and magnetic resonance imaging (MRI), we diagnosed an abdominal pregnancy, revealing an extrauterine fetus and placenta, and clarified the location of the placenta, and the involvement of nearby structures. Prompt surgical intervention via laparotomy ensured successful delivery and maternal well-being. The male baby was born in good condition, and no congenital abnormalities were observed.Discussion: Ultrasound remains the primary diagnostic tool, complemented by MRI for precise evaluation. Early diagnosis is paramount, emphasizing the need for improved clinical understanding and vigilance, with MRI serving as a valuable adjunct in uncertain cases. Early surgical intervention, guided by diagnostic imaging, improves outcomes, underscoring the importance of a multidisciplinary approach to the management of abdominal pregnancy. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | Russian |
| ISSN: | 2218-7332 2658-3348 |
| Relation: | https://www.sechenovmedj.com/jour/article/view/1144; https://doaj.org/toc/2218-7332; https://doaj.org/toc/2658-3348 |
| DOI: | 10.47093/2218-7332.2024.15.3.58-64 |
| Access URL: | https://doaj.org/article/cca017080495457a86a2eedeaf8ba81b |
| Accession Number: | edsdoj.017080495457a86a2eedeaf8ba81b |
| Database: | Directory of Open Access Journals |
| ISSN: | 22187332 26583348 |
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| DOI: | 10.47093/2218-7332.2024.15.3.58-64 |
| Published in: | Сеченовский вестник |
| Language: | Russian |