TITLE:
Management of a Second-Trimester Abdominal Pregnancy: A Case Report and Review of the Literature
AUTHORS:
Abdallah El Farouqi, Essaid Iraki, Anas Boumezzough
KEYWORDS:
Abdominal Pregnancy, Ectopic Pregnancy, Advanced Ectopic Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.1,
January
17,
2022
ABSTRACT: Introduction: The
abdominal pregnancy is a rare pathology that can threaten the vital prognosis
of the mother. The positive diagnosis is difficult to establish. It is most
often made in an acute context, leading to a high fetomaternal morbidity and
mortality. Our objective is to recall the diagnostic approach and optimal
management of this condition. Case report: We present the case of an
abdominal pregnancy at 18 weeks of amenorrhea with partial placental abruption
in a 26-year-old patient who presented with abdominal pain in emergency
obstetrical department of university hospital center of Agadir. The ultrasound
revealed the presence of an evolving abdominal pregnancy. The MRI allowed
precisely the localization of the placenta and its relationship with the
surrounding organs. A laparotomy revealed the insertion of the placenta on the
right adnexa. The right adnexectomy allowed removal of the placenta without
incident. Conclusion: Abdominal pregnancy is difficult to diagnose. It
is essential to be well informed about the clinical and ultrasonographic
semiology of this pregnancy, in order to avoid operative surprises and to
ensure the appropriate treatment.