Advanced secondary abdominal ectopic pregnancy with live fetus at 26-weeks’ gestation following in vitro fertilization: A case report

Abdominal ectopic pregnancy is a rare type of ectopic pregnancy that is associated with high morbidity and mortality. This study reports a case of advanced abdominal ectopic pregnancy at 26-weeks’ gestation in a 31-year-old primigravida whose conception was a result of in vitro fertilization because...

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Main Authors: Yaser Aref Hamam, Mohammad Zimmo, Basel F Alqeeq, Yara M Hijazi, Mohammed Hamam, Mohammed Al-Hajjar
Format: Article
Language:English
Published: SAGE Publishing 2024-01-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X241226776
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author Yaser Aref Hamam
Mohammad Zimmo
Basel F Alqeeq
Yara M Hijazi
Mohammed Hamam
Mohammed Al-Hajjar
author_facet Yaser Aref Hamam
Mohammad Zimmo
Basel F Alqeeq
Yara M Hijazi
Mohammed Hamam
Mohammed Al-Hajjar
author_sort Yaser Aref Hamam
collection DOAJ
description Abdominal ectopic pregnancy is a rare type of ectopic pregnancy that is associated with high morbidity and mortality. This study reports a case of advanced abdominal ectopic pregnancy at 26-weeks’ gestation in a 31-year-old primigravida whose conception was a result of in vitro fertilization because of infertility due to male factors. Her past history is significant for a congenital Horseshoe kidney. Initially, she presented at the 8th week of gestation with a clinical picture that is consistent with ectopic abdominal pregnancy; however, she refused to terminate her pregnancy despite medical advice. At 26 weeks gestation, she presented to the emergency department again complaining of lower abdominal pain and vaginal spotting, and underwent an abdominal laparotomy without any complications. The postoperative period was unremarkable, and she was discharged after 7 days. In conclusion, early diagnosis and management of such cases are of paramount importance and lead to favorable outcomes. Nevertheless, we stress the importance of providing effective counseling to patients presenting with serious conditions through clear information along with proper psychological support for couples.
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spelling doaj.art-dcfe3fb52020464e91f59b2c299292d52024-01-30T11:03:32ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2024-01-011210.1177/2050313X241226776Advanced secondary abdominal ectopic pregnancy with live fetus at 26-weeks’ gestation following in vitro fertilization: A case reportYaser Aref Hamam0Mohammad Zimmo1Basel F Alqeeq2Yara M Hijazi3Mohammed Hamam4Mohammed Al-Hajjar5Faculty of Medicine, Al-Quds University, Jerusalem, PalestineObstetrics and Gynecology Department, Al-Shifa Medical Complex, Gaza, PalestineFaculty of Medicine, Islamic University of Gaza, Gaza, PalestineFaculty of Medicine, Al-Quds University, Jerusalem, PalestineFaculty of Medicine, Islamic University of Gaza, Gaza, PalestineFaculty of Medicine, Islamic University of Gaza, Gaza, PalestineAbdominal ectopic pregnancy is a rare type of ectopic pregnancy that is associated with high morbidity and mortality. This study reports a case of advanced abdominal ectopic pregnancy at 26-weeks’ gestation in a 31-year-old primigravida whose conception was a result of in vitro fertilization because of infertility due to male factors. Her past history is significant for a congenital Horseshoe kidney. Initially, she presented at the 8th week of gestation with a clinical picture that is consistent with ectopic abdominal pregnancy; however, she refused to terminate her pregnancy despite medical advice. At 26 weeks gestation, she presented to the emergency department again complaining of lower abdominal pain and vaginal spotting, and underwent an abdominal laparotomy without any complications. The postoperative period was unremarkable, and she was discharged after 7 days. In conclusion, early diagnosis and management of such cases are of paramount importance and lead to favorable outcomes. Nevertheless, we stress the importance of providing effective counseling to patients presenting with serious conditions through clear information along with proper psychological support for couples.https://doi.org/10.1177/2050313X241226776
spellingShingle Yaser Aref Hamam
Mohammad Zimmo
Basel F Alqeeq
Yara M Hijazi
Mohammed Hamam
Mohammed Al-Hajjar
Advanced secondary abdominal ectopic pregnancy with live fetus at 26-weeks’ gestation following in vitro fertilization: A case report
SAGE Open Medical Case Reports
title Advanced secondary abdominal ectopic pregnancy with live fetus at 26-weeks’ gestation following in vitro fertilization: A case report
title_full Advanced secondary abdominal ectopic pregnancy with live fetus at 26-weeks’ gestation following in vitro fertilization: A case report
title_fullStr Advanced secondary abdominal ectopic pregnancy with live fetus at 26-weeks’ gestation following in vitro fertilization: A case report
title_full_unstemmed Advanced secondary abdominal ectopic pregnancy with live fetus at 26-weeks’ gestation following in vitro fertilization: A case report
title_short Advanced secondary abdominal ectopic pregnancy with live fetus at 26-weeks’ gestation following in vitro fertilization: A case report
title_sort advanced secondary abdominal ectopic pregnancy with live fetus at 26 weeks gestation following in vitro fertilization a case report
url https://doi.org/10.1177/2050313X241226776
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