Successful Management of Abdominal Pregnancy: Two Case Reports
Abdominal pregnancy is a rare, life-threatening condition defined as pregnancy in the peritoneal cavity exclusive of tubal, ovarian, or intraligamentary locations. It can be primarily located in the peritoneal cavity or secondary to a ruptured ectopic pregnancy or tubal abortion. We present two case...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Oman Medical Specialty Board
2018-03-01
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| Series: | Oman Medical Journal |
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| Online Access: | http://omjournal.org/articleDetails.aspx?coType=1&aId=2097 |
| _version_ | 1818533351362920448 |
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| author | Nemat AbdulRahman AbdulJabbar Shabnam Saquib Wafa Elhussein Mohammed Talha |
| author_facet | Nemat AbdulRahman AbdulJabbar Shabnam Saquib Wafa Elhussein Mohammed Talha |
| author_sort | Nemat AbdulRahman AbdulJabbar |
| collection | DOAJ |
| description | Abdominal pregnancy is a rare, life-threatening condition defined as pregnancy in the peritoneal cavity exclusive of tubal, ovarian, or intraligamentary locations. It can be primarily located in the peritoneal cavity or secondary to a ruptured ectopic pregnancy or tubal abortion. We present two cases of abdominal pregnancy, one primary and another secondary, both diagnosed and successfully managed in our institution. The first patient, a para 2 at 14 weeks gestation, presented with abdominal pain, distension, and dizziness, which had started four days prior. The initial radiological scan reported an intrauterine pregnancy with ascites, but a bedside ultrasound revealed an empty uterus and a viable pregnancy located in the Pouch of Douglas (POD). This was a secondary abdominal pregnancy managed successfully by laparotomy. The second patient, a para 3 + 4 miscarriages with seven weeks amenorrhea was admitted with an initial diagnosis of pregnancy of unknown location. She had a beta human chorionic gonadotropin level of 14444 mIU/mL. Diagnostic laparoscopy revealed a hemoperitoneum, bulky uterus, normal looking right and left adnexa, and a dense irregular bleeding tissue of around 3 × 4 cm firmly attached to the POD. The histopathology report of the tissue retrieved from the POD confirmed products of conception. This case report supports the importance of awareness and high clinical suspicion for such a life-threatening condition to avoid maternal morbidity and mortality. To the best of our knowledge, no previous cases of abdominal pregnancy have been reported in the UAE to date. |
| first_indexed | 2024-12-11T17:57:32Z |
| format | Article |
| id | doaj.art-cb2bd3fc745043558bf93bc671f7d0e3 |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-12-11T17:57:32Z |
| publishDate | 2018-03-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-cb2bd3fc745043558bf93bc671f7d0e32022-12-22T00:56:01ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042018-03-0133217117510.5001/omj.2018.32Successful Management of Abdominal Pregnancy: Two Case Reports Nemat AbdulRahman AbdulJabbar 0Shabnam Saquib1Wafa Elhussein Mohammed Talha2Department of Obstetrics and Gynecology, Dubai Hospital, Dubai, UAEDepartment of Obstetrics and Gynecology, Dubai Hospital, Dubai, UAEDepartment of Obstetrics and Gynecology, Dubai Hospital, Dubai, UAEAbdominal pregnancy is a rare, life-threatening condition defined as pregnancy in the peritoneal cavity exclusive of tubal, ovarian, or intraligamentary locations. It can be primarily located in the peritoneal cavity or secondary to a ruptured ectopic pregnancy or tubal abortion. We present two cases of abdominal pregnancy, one primary and another secondary, both diagnosed and successfully managed in our institution. The first patient, a para 2 at 14 weeks gestation, presented with abdominal pain, distension, and dizziness, which had started four days prior. The initial radiological scan reported an intrauterine pregnancy with ascites, but a bedside ultrasound revealed an empty uterus and a viable pregnancy located in the Pouch of Douglas (POD). This was a secondary abdominal pregnancy managed successfully by laparotomy. The second patient, a para 3 + 4 miscarriages with seven weeks amenorrhea was admitted with an initial diagnosis of pregnancy of unknown location. She had a beta human chorionic gonadotropin level of 14444 mIU/mL. Diagnostic laparoscopy revealed a hemoperitoneum, bulky uterus, normal looking right and left adnexa, and a dense irregular bleeding tissue of around 3 × 4 cm firmly attached to the POD. The histopathology report of the tissue retrieved from the POD confirmed products of conception. This case report supports the importance of awareness and high clinical suspicion for such a life-threatening condition to avoid maternal morbidity and mortality. To the best of our knowledge, no previous cases of abdominal pregnancy have been reported in the UAE to date.http://omjournal.org/articleDetails.aspx?coType=1&aId=2097PregnancyAbdominalDouglas’ PouchHemoperitoneumChorionic Gonadotropinbeta SubunitHumanUltrasound Imaging |
| spellingShingle | Nemat AbdulRahman AbdulJabbar Shabnam Saquib Wafa Elhussein Mohammed Talha Successful Management of Abdominal Pregnancy: Two Case Reports Oman Medical Journal Pregnancy Abdominal Douglas’ Pouch Hemoperitoneum Chorionic Gonadotropin beta Subunit Human Ultrasound Imaging |
| title | Successful Management of Abdominal Pregnancy: Two Case Reports |
| title_full | Successful Management of Abdominal Pregnancy: Two Case Reports |
| title_fullStr | Successful Management of Abdominal Pregnancy: Two Case Reports |
| title_full_unstemmed | Successful Management of Abdominal Pregnancy: Two Case Reports |
| title_short | Successful Management of Abdominal Pregnancy: Two Case Reports |
| title_sort | successful management of abdominal pregnancy two case reports |
| topic | Pregnancy Abdominal Douglas’ Pouch Hemoperitoneum Chorionic Gonadotropin beta Subunit Human Ultrasound Imaging |
| url | http://omjournal.org/articleDetails.aspx?coType=1&aId=2097 |
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