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Abdominal Ectopic Pregnancy
Published in Botros Rizk, A. Mostafa Borahay, Abdel Maguid Ramzy, Clinical Diagnosis and Management of Gynecologic Emergencies, 2020
Abdominal pregnancy is an implantation in the peritoneal cavity exclusive of tubal, ovarian, or intraligamentous implantations. More than 95% of ectopic pregnancies are in the fallopian tube (tubal pregnancy). The remaining 5% are located in the ovary, the abdomen, the cervix, or a cesarean scar [1, 2]. Abdominal pregnancy accounts for approximately 1.3% of all extrauterine pregnancies [3, 4].
The Arab influence
Published in Michael J. O’Dowd, The History of Medications for Women, 2020
Albucasis wrote on the surgical treatment of imperforate hymen with acacia and dragon’s blood and incense mixed with egg white to hand for hemostasis. He offered surgical extirpation of the male organs in hermaphroditism and a similar procedure for clitoral enlargement. Albucasis reported an interesting case of secondary abdominal pregnancy: a pregnant woman suffered a stillbirth but the fetus was not expelled. Some time later the patient developed an umbilical abscess which ruptured and expelled a large number of fetal bones. He described the vaginal speculum and an early version of the Walcher position for childbirth, and he invented a piston syringe. It is doubtful, however, whether or not he ever practiced midwifery himself (Ricci, 1943).
The Reproductive System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
In rare instances, the fertilized ovum becomes attached to the wall of the ovarian tube resulting in a tubal pregnancy, which presents insufficient blood supply for the growing fetus and may cause the tube to rupture. Even more rarely, the ovum may escape the fimbriae entirely, be fertilized, and become implanted upon the wall of an abdominal organ in an abdominal pregnancy. Both of these situations are called ectopic pregnancies because they are ectopic or "outside the normal position."
Abdominal ectopic pregnancy
Published in Baylor University Medical Center Proceedings, 2021
Reshma George, Edward Powers, Robert Gunby
Risk factors for abdominal pregnancy include previous ectopic pregnancy, tubal surgeries/rupture, endometriosis, and pelvic inflammatory disease.1 While abdominal pregnancy presentation is variable, findings such as severe abdominal pain and painful fetal movement should raise suspicion for abdominal pregnancy.6 Due to the variability of symptoms, abdominal pregnancies can be misdiagnosed.5 In our case, the pregnancy was initially thought to be intrauterine; however, a sonogram showed the presence of an extrauterine pregnancy. Ultrasound findings showing an empty uterus, with a gestational sac or mass outside of the uterus, fallopian tubes, and ovaries confirming the diagnosis of abdominal pregnancy.1,5 If the diagnosis of abdominal pregnancy is inconclusive with ultrasound findings, magnetic resonance imaging can be used.5 Further, beta-human chorionic gonadotropin levels early in the pregnancy >1500 mIU/mL without an intrauterine gestational sac should warrant concern for abdominal or other ectopic pregnancies.8
Laparoscopic management of a broad ligament ectopic pregnancy with a literature review
Published in Journal of Obstetrics and Gynaecology, 2022
Cihan Kaya, Özgür Aslan, Berk Gürsoy
The diagnosis of the abdominal pregnancy could be missed due to the insufficiency of sonography and not being considered in the first place of the diagnosis (Azhar et al. 2020). The differential diagnosis of tubal and broad ligament EP is quite difficult. However, unlike tubal EP, the presence of an empty uterine cavity and a gestational pseudo sac attached to the lower uterine segment in TVUSG is crucial in the differential diagnosis (Azhar et al. 2020). In addition, broad ligament EP should be suspected in patients with a history of ipsilateral salpingectomy. Apart from these, the presence of a gestational sac adjacent to an empty uterus without a history of salpingectomy and an intact fallopian tube on the same side should suggest a broad ligament EP (Phupong et al. 2003).
A case report of an advanced abdominal pregnancy with sepsis
Published in Journal of Obstetrics and Gynaecology, 2022
Emmanuel Owie, Abosede Lewu, Chinedu Anumni
Ectopic pregnancies complicate about 1–2% of all pregnancies (Kwakukume and Ekele 2017). Abdominal pregnancy is a rare type of ectopic pregnancy which occurs when the foetus is developing within the abdominal cavity. Despite the rarity of its occurrence, it is highly associated with a higher maternal and perinatal morbidity and mortality when compared to normal pregnancies thus its occurrence remains a significant incidence in obstetrics (Mengistu et al. 2015). We present the case of a 28-year old gravida 2 para 0 + 1 woman with intra-abdominal pregnancy who presented at 27 weeks gestation with a history of severe abdominal pain, high-grade fever, and ultrasonography finding of a live intra-abdominal singleton foetus.