Successful management of abdominal pregnancy : two case reports

Joint Authors

Abd al-Jabbar, Nimat Abd al-Rahman
Saquib, Shabnam
Talhah, Wafa al-Husayn Muhammad

Source

Oman Medical Journal

Issue

Vol. 33, Issue 2 (31 Mar. 2018), pp.171-175, 5 p.

Publisher

Oman Medical Specialty Board

Publication Date

2018-03-31

Country of Publication

Oman

No. of Pages

5

Main Subjects

Pharmacy, Health & Medical Sciences
Medicine

Topics

Abstract EN

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 14 444 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.

American Psychological Association (APA)

Abd al-Jabbar, Nimat Abd al-Rahman& Saquib, Shabnam& Talhah, Wafa al-Husayn Muhammad. 2018. Successful management of abdominal pregnancy : two case reports. Oman Medical Journal،Vol. 33, no. 2, pp.171-175.
https://search.emarefa.net/detail/BIM-835638

Modern Language Association (MLA)

Abd al-Jabbar, Nimat Abd al-Rahman…[et al.]. Successful management of abdominal pregnancy : two case reports. Oman Medical Journal Vol. 33, no. 2 (Mar. 2018), pp.171-175.
https://search.emarefa.net/detail/BIM-835638

American Medical Association (AMA)

Abd al-Jabbar, Nimat Abd al-Rahman& Saquib, Shabnam& Talhah, Wafa al-Husayn Muhammad. Successful management of abdominal pregnancy : two case reports. Oman Medical Journal. 2018. Vol. 33, no. 2, pp.171-175.
https://search.emarefa.net/detail/BIM-835638

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 175

Record ID

BIM-835638