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Ectopic abdominal pregnancy on the ascending colon
Riham Suleiman1, Dema Adwan1, Mhd Firas Safadi2
1Department of Obstetrics and Gynaecology Maternity University Hospital Damascus Syria.
Clinical Case Reports
|November 18, 2022
Summary
A rare case of abdominal pregnancy was diagnosed in a young woman presenting with acute abdominal pain. The pregnancy was located on the ascending colon, requiring surgical removal and methotrexate treatment.
Area of Science:
- Reproductive Medicine
- Surgical Gastroenterology
- Obstetrics and Gynecology
Background:
- Abdominal pregnancy is a rare form of ectopic pregnancy with significant maternal morbidity and mortality.
- Early diagnosis and prompt management are crucial for favorable outcomes.
Observation:
- A 25-year-old woman presented with acute abdominal pain and amenorrhea.
- Vaginal ultrasound revealed a right para-adnexal mass with a viable embryo.
- Laparotomy identified an abdominal pregnancy implanted on the ascending colon.
Findings:
- Successful surgical removal of the gestational sac from the ascending colon.
- Post-operative treatment with methotrexate administered.
Implications:
- This case highlights the importance of considering rare ectopic pregnancy locations in the differential diagnosis of acute abdominal pain.
- Multidisciplinary management involving obstetrics, gynecology, and surgery is essential for complex cases.
- Methotrexate remains a viable treatment option in select cases of abdominal pregnancy.
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