Abstract
IntroductionWe present a case of a 13-week abdominal pregnancy evaluated with ultrasound and magnetic resonance imaging.Case presentationA 34-year-old woman, (gravida 2, para 1) suffering from lower abdominal pain and slight vaginal bleeding was transferred to our hospital. A transabdominal ultrasound and magnetic resonance imaging were performed. The diagnosis of primary abdominal pregnancy was confirmed according to Studdiford’s criteria. A laparatomy was carried out. The placenta was attached to the mesentery of sigmoid colon and to the left abdominal sidewall. The placenta was dissected away completely and safely. No postoperative complications were observed.ConclusionUltrasound examination is the usual diagnostic procedure of choice. In addition magnetic resonance imaging can be useful to show the localization of the placenta preoperatively.
Highlights
Introduction: We present a case of a 13-week abdominal pregnancy evaluated with ultrasound and magnetic resonance imaging
Case presentation: A 34-year-old woman, suffering from lower abdominal pain and slight vaginal bleeding was transferred to our hospital
The placenta was attached to the mesentery of sigmoid colon and to the left abdominal sidewall
Summary
With a diagnosis of one per 10000 births, is an extremely rare and serious form of extrauterine gestation [1]. She had not used any contraceptive method afterwards, she had not become pregnant She was transferred to our hospital from her local clinic at the gestation stage of 13 weeks because of pain in the lower abdomen and slight vaginal bleeding. She did not know when her last menstrual period had been, due to irregular periods. As a management protocol in our department, we perform uterine curettage in all patients with ectopic pregnancy gently at the end of the operation, for the differential diagnosis of ectopic pregnancy, and to help in reducing present or possible postoperative vaginal bleeding. The patient was discharged on post-operative day five with the standard of care at our hospital
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