Abstract
Abdominal ectopic pregnancy is a rare pathology, it is expressed by a pregnancy with implantation inside the abdominal cavity and outside the uterus and its annexes, being specifically the least frequent of ectopic pregnancies, representing 1% of cases. When it occurs, the maternal-fetal mortality rate is high1. The diagnosis requires a high degree of suspicion, due to regular menstrual bleeding may be present. It is a medical emergency with serious complications such as obstetric hemorrhage. We present the case of a prime pregnant patient with abdominal ectopic pregnancy in the second trimester with definitive surgical management, and subsequent maternal evolution favorable to post-surgery, however, with adverse perinatal outcome for the newborn. The importance of this case lies in its timely diagnosis, by which it was possible to avoid complications that put the patient’s life at risk.
References
Mahi M, Boumdin H, Chaouir S, Salaheddine T, Attioui D, Amil T, et al.A new case of abdominal pregnancy. J Radiol.2002;83(7-8):989-92.
Mengistu Z, Getachew A, Adefris M. Term abdominal pregnancy: a case report.J.Med.Case Rep. 2015;9:168.
Okafor I, Ude A, Aderibigbe A, Amu O, Udeh P, Obianyo N, et al.Abdominal pregnancy-a case report. J West Afr Coll Surg.2011;1(1):121-30.
Puch-Ceballos EE, Vázquez-Castro R, Osorio- Pérez AI, Ramos-Ayala M, Villarreal-Sosa CO, Ruvalcaba-Rivera E.Embarazo ectópico abdominal.Reporte de un caso y revisión de la bibliografía. Ginecol Obstet Mex.2015;83(7):454- 460.
Matovelo D, Ng’walida N.Hemoperitoneum in advanced abdominal pregnancy with a live baby: A case report.BMC Res Notes.2014; 7(1)1-3.
Audifred-Salomón JR, Herrera-Ortiz A, González- Medrano MG, Estrada-Rivera SF. Embarazo ectópico intraligamentario.Ginecol Obstet Mex.2013; 81(4):211-214.
Campechano-López JM, Carranza-Bernal ML,Juanico-Morale G, Reyes-Gil MR. Respuesta exitosa del ERI en un caso de embarazo ectópico cervical. Rev Med Inst Mex Seguro Soc.2016; 54(6):787-792.
Agarwal N, Odejinmi F. Early abdominal ectopic pregnancy: challenges, update and review of current management.Obstet. Gynecol. 2014;16(3):193-198.
Marion L, Rodney G.Ectopic pregnancy: history, incidence, epidemiology, and risk factors.Clinic Obstet Gynecol. 2012;55(2):376-386.
Kar S. Primary abdominal pregnancy following intra-uterine insemination. J Hum Reprod Sci. 2011;4(2):95–99.
Barnhart K. Ectopic pregnancy. N Engl J Med. 2009; 361:379-387.
Escobar M, Caicedo G, Solarte J, Thomas L, Dávalos D, López J, et al. Embarazo ectópico abdominal avanzado: reporte de casos y revisión de la literatura. Rev Colomb Obstet Ginecol. 2017;68(1):71-82.
Naim NM, Ahmad S, Siraj HH, Ng P, Mahdy ZA, Razi ZR. Advanced abdominal pregnancy resulting from late uterine rupture. Obstet Gynecol. 2008;111(2):502-504.
Marcellin L, Ménard S, Lamau MC, Mignon A, Aubelle MS, Grangé G, et al.Conservative management of an advanced abdominal pregnancy at 22 weeks.AJP Rep.2014;4(1):55-60.
León-Cid I, Rodríguez-Iglesias G, Segura- Fernandez A, Atienza-Barzaga AM.Abdominal ectopic pregnancy with liver implantation.Rev Cub Med Mil. 2011;40(3-4):302-310.
Miranda-Ruiz O, Goyes-Ortega R. Embarazo ectópico abdominal: caso reportado en Ambato (Ecuador). Horiz Med. 2015;15(3):74-77.
Yildizhan R, Kolusari A, Adali F, Adali E, Kurdoglu M, Ozgokce C, et al.Primary abdominal ectopic pregnancy: a case report.Cases J.2009;2(1):1-4.
Winder S, Reid S, Condous G. Ultrasound diagnosis of ectopic pregnancy. Australas J Ultrasound Med. 2011;14(2):29-33.
Fessehaye A, Gashawbeza B, Daba M, Arusi M, Terefe T. Abdominal ectopic pregnancy complicated with a large bowel injury: a case report.J Med Case Rep. 2021;15(1):1-5.
González C, Salas PI, Hernández A, De Santiago J. Embarazo ectópico ovárico: experiencia en 10 años del Hospital Universitario La Paz, Madrid, España. Rev chil obstet ginecol. 2012;77(1): 50-54.
Mora JA, Arreaza M, Nossa HH, Rodríguez JA.Embarazo abdominal avanzado: diagnóstico y manejo. Reporte de caso y revisión de la literatura. Rev Colomb Obstet Ginecol. 2014;65(3):256-61.
Köroğlu M, Kayhan A, Soylu FN, Erol B, Schimid- Tannwald C, Gürses C, et al. MR imaging of ectopic pregnancy with an emphasis on unusual implantation sites.Jpn J Radiol. 2013;31(2):75-80.
Nishino M, Hayakawa K, Iwasaku K, Takasu K. Magnetic resonance imaging findings in gynecologic Asssist Tomogr. emergencies. J Comput 2003; 27(4):564-577.
Ruiz L, Abad C, Hernández M, Sánchez E, et al. Embarazo ectópico abdominal en una paciente histerectomizada. Ginecol Obstet Mex. 2018;86(10):675–681.
Vargas V, Hernández M, Ventura V, et al. Embarazo ectópico abdominal, presentación de un caso y revisión de la literatura. Rev Chil Obstet Ginecol. 2017; 82(3):338-344.
Barnhart K, Gosman G, Ashby R, Sammel M. The medical management of ectopic pregnancy: a metaanalysis comparing “single dose” and “multidose” regimens. Obstet Gynecol. 2003; 101(4):778-784.
Bansgsgaard N, Lund C, Ottesen B, Nilas L. Improved fertility following conservative surgical treatment of ectopic pregnancy. Br J Obstet Gynaecol. 2003; 110(8):765-770.
Saad E, Saadeh J, Ghulmiyyah L, Hitti E. Late post-hysterectomy ectopic pregnancy. Emer Med Australas. 2012; 24(3):239-243.
Timor-Tritsch I, Monteagudo A, Bennet T, Foley C, Ramos J, Agten A. A new minimally invasive treatment for cesarean scar pregnancy and cervical pregnancy. Am J Obstet Gynecol. 2016;215(3):351.e1-351.e8.
Tanaka K, Baartz D, Khoo S. Management of intersticial ectopic pregnancy with intravenous methotrexate: An extended study of a standardised regimen. Aust N Z J Obstet Gynaecol. 2015;55(2):176-180.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2022 Médicas UIS