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[Live birth resulting from abdominal pregnancy].

Tamás Koltai1, György Bacskó1

  • 1Szülészeti-Nőgyógyászati Osztály, Kenézy Gyula Kórház és Rendelőintézet Debrecen.

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Summary

Advanced abdominal pregnancy is a rare and dangerous condition. This case highlights successful delivery of a viable infant, emphasizing prompt diagnosis and management to improve maternal and infant outcomes.

Keywords:
abdominal pregnancyextrauterine pregnancyfetal malformationhasűri terhességmagzati malformációméhen kívüli terhesség

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Surgical Case Reports

Background:

  • Advanced abdominal pregnancy is a rare obstetric emergency with high maternal and fetal risks.
  • Nonspecific symptoms often lead to delayed diagnosis, increasing morbidity and mortality.
  • Fetal malformations are notably more common in abdominal pregnancies.

Observation:

  • A case report of a 38-year-old primigravida with an undiagnosed advanced abdominal pregnancy beyond 36 weeks.
  • Successful abdominal delivery of a 2090g infant.
  • Postoperative relaparotomy was required due to abdominal hemorrhage.

Findings:

  • Despite diagnostic challenges and complications, a favorable maternal and infant outcome was achieved.
  • The case underscores the potential for successful management of advanced abdominal pregnancy.
  • Literature review covers definition, epidemiology, diagnosis, and therapeutic strategies for abdominal pregnancy.

Implications:

  • Highlights the critical need for heightened clinical suspicion for advanced abdominal pregnancy.
  • Emphasizes the importance of timely diagnosis and multidisciplinary management for improved outcomes.
  • Suggests that with appropriate intervention, advanced abdominal pregnancy can be managed successfully, reducing mortality and morbidity.