Successful Management of Abdominal Pregnancy: Two Case Reports
Journal Title: Oman Medical Journal - Year 2018, Vol 33, Issue 2
Abstract
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.
Authors and Affiliations
Nemat AbdulRahman AbdulJabbar, Shabnam Saquib, Wafa Elhussein Mohammed Talha
Keywords
Related Articles
- EP ID EP278209
- DOI 10.5001/omj.2018.32
- Views 95
- Downloads 0
Childbirth Fear and Associated Factors in a Sample of Pregnant Iranian Women
Objectives: Fear of childbirth is common during pregnancy and may contribute to several adverse outcomes. We aimed to investigate childbirth fear and associated factors in a sample of pregnant Iranian women. Methods: Thi...
Desmoplastic Infantile Ganglioglioma Masquerading as an Arachnoid Cyst
Desmoplastic infantile ganglioglioma (DIG) is a rare supratentorial brain tumor, which is usually diagnosed before the age of two and has a favorable prognosis. To date, only a few cases have been reported in the literat...
Gestation-wise Reference Ranges of Neutrophil Counts in Indian Newborns
Objectives: Blood counts are commonly performed tests in neonatal intensive care units with the results having various clinical ramifications. Interpreting blood counts as normal or abnormal requires reference ranges as...
Understanding Iron Metabolism: Lessons from Transfusion-dependent Thalassemia
Iron metabolism is well regulated in humans by a number of proteins, the most important one being hepcidin. Hepcidin inhibits iron absorption at the gastrointestinal (GI) luminal surface through its inhibition of ferropo...
Is Level of Injury a Determinant of Quality of Life Among Individuals with Spinal Cord Injury? A Tertiary Rehabilitation Center Report
Objectives: The role of injury-related variables in determining health-related quality of life (HRQOL) among Iranian persons with spinal cord injury (SCI) has not yet been fully described. In this study, we compared HRQO...