Management of a Second-Trimester Abdominal Pregnancy: A Case Report and Review of the Literature

Abdallah El Farouqi,Essaid Iraki,Anas Boumezzough

doi:10.4236/ojog.2022.121004

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.

Highlights

The abdominal pregnancy is a rare pathology that can threaten the vital prognosis of the mother
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
We describe the case of an abdominal pregnancy discovered at 18 weeks of amenorrhea and successfully treated by laparotomy in emergency obstetrical department of university hospital center of Agadir

Summary

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. 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. A laparotomy revealed the insertion of the placenta on the right adnexa. The right adnexectomy allowed removal of the placenta without incident. The management of abdominal pregnancies depends on gestational age and the site of placental insertion. We describe the case of an abdominal pregnancy discovered at 18 weeks of amenorrhea and successfully treated by laparotomy in emergency obstetrical department of university hospital center of Agadir

Objectives

Findings

Discussion

Conclusion