Different Outcome in Early and Late Abdominal Pregnancy

A Case Series on Abdominal Pregnancy at West Nusa Tenggara Hospital

DOI

10.2991/ahsr.k.220206.058How to use a DOI?

Keywords

Abdominal Pregnancy; Ectopic Pregnancy; Early Abdominal Pregnancy; Late Abdominal Pregnancy

Abstract

Abdominal pregnancy is a very rare and very dangerous type of ectopic pregnancy, this kind of pregnancy occurs in 1: 10.000 to 30.000 pregnancies (1,4% of all ectopic pregnancies). This kind of pregnancy is a challenge to diagnose and treat, especially in a developing country such as Indonesia. In this case series, the author report two cases of abdominal pregnancy. The 1st case is a 35 years old woman with primigravida at 31 weeks presented with abdominal pain and no vaginal bleeding. Physical examination revealed a palpable mass that measures at 3 fingers above the belly button. Ultrasound revealed the baby was outside the uterus. She then underwent a laparotomy. The baby was found at the peritoneum cavity and was born alive. Unfortunately, both patient and the baby did not survive. The 2nd case is a 23 years old woman with primigravida at 16 weeks presented with abdominal pain and vaginal bleeding. Physical examination revealed a palpable mass that measures at the belly button. Ultrasound revealed that the baby did not have a heartbeat and was located outside the uterus. She then undergoes a successful laparotomy. The patient was sent home 5 days later in good condition. Abdominal pregnancy is a rare and life-threatening condition, but early diagnosis and treatment can save lives and reduce morbidity. The obstetrician should consider abdominal pregnancy when oligohydramnios was found and induction is failed. MRI imaging should be considered in late abdominal pregnancy to give a better image of the location and anatomy of the current condition.

Copyright

© 2022 The Authors. Published by Atlantis Press International B.V.

Open Access

This is an open access article under the CC BY-NC license.

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TY  - CONF
AU  - Febie Putra Suwana
AU  - I M.W. Mahayasa
AU  - Muhammad Rizkinov Jumsa Jumsa
AU  - A. Karima
PY  - 2022
DA  - 2022/02/21
TI  - Different Outcome in Early and Late Abdominal Pregnancy
BT  - Proceedings of the 2nd Global Health and Innovation in conjunction with 6th ORL Head and Neck Oncology Conference (ORLHN 2021)
PB  - Atlantis Press
SP  - 315
EP  - 318
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.220206.058
DO  - 10.2991/ahsr.k.220206.058
ID  - Suwana2022
ER  -