Unrecognized abdominal pregnancy with six months' evolution revealed by acute intestinal obstruction in women with PCOS.
JBRA Assist Reprod
; 28(2): 358-361, 2024 Jun 01.
Article
en En
| MEDLINE
| ID: mdl-38381776
ABSTRACT
Abdominal pregnancy is a rare form of ectopic pregnancy where implantation and development of the egg take place in the peritoneal cavity outside the tubo-uterine mucosa, in contact with intestinal loops. Diagnosis is most often difficult. We report the case of a 32-year-old woman (gravida 1, para 1), with a history of PCOS, diagnosed with abdominal pregnancy at 20 weeks of amenorrhea complicated by acute intestinal obstruction. Diagnosis was confirmed by abdomino-pelvic scan. Surgery was performed with the patient under general anesthesia. She presented a macerated fetus with an infiltration of the placenta causing a perforation of the sigmoid colon and uterus. Hartmann's procedure was performed and the perforation of the uterus was sutured. Abdominal pregnancy remains a rare variety of ectopic pregnancy. Preoperative diagnosis is difficult due to the presence of a variety of non-specific symptoms. This type of ectopic pregnancy remains challenging for gynecologists and radiologists.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Síndrome del Ovario Poliquístico
/
Embarazo Abdominal
/
Obstrucción Intestinal
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
JBRA Assist Reprod
Año:
2024
Tipo del documento:
Article
País de afiliación:
Túnez
Pais de publicación:
Brasil