Primary abdominal pregnancy with a viable fetus: clinical case of successful management
https://doi.org/10.47093/2218-7332.2024.15.3.58-64
摘要
Abdominal pregnancy, occurring outside typical intrauterine locations, poses substantial risks to maternal health due to the potential for severe bleeding from placental detachment. Despite its rarity, accounting for 1–1.5% of ectopic pregnancies, its mortality rates are significantly higher, with maternal mortality ranging from 2% to 30%.
Case report. A 42-year-old woman, pregnant with her third pregnancy at 33 weeks, was admitted to the hospital with abdominal pain. All antenatal visits were performed without the use of ultrasound. Utilizing ultrasound and magnetic resonance imaging (MRI), we diagnosed an abdominal pregnancy, revealing an extrauterine fetus and placenta, and clarified the location of the placenta, and the involvement of nearby structures. Prompt surgical intervention via laparotomy ensured successful delivery and maternal well-being. The male baby was born in good condition, and no congenital abnormalities were observed.
Discussion: Ultrasound remains the primary diagnostic tool, complemented by MRI for precise evaluation. Early diagnosis is paramount, emphasizing the need for improved clinical understanding and vigilance, with MRI serving as a valuable adjunct in uncertain cases. Early surgical intervention, guided by diagnostic imaging, improves outcomes, underscoring the importance of a multidisciplinary approach to the management of abdominal pregnancy.
关于作者
S. Donel
University of Riau
印度尼西亚
印度尼西亚
Munawar Lubis
University of Riau
印度尼西亚
印度尼西亚
Citra Effendy
University of Riau
印度尼西亚
印度尼西亚
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