An: 2014, Nr.4, Articol Nr. 15
PRIMARY ABDOMINAL ECTOPIC PREGNANCY TO 25 WEEKS GESTATIONAL AGE. CASE STUDY AND LITERATURE REVIEW
Alina Călin - University „Dunărea de Jos” Galaţi, Faculty of Medicine and Pharmacy; Emergency County Hospital “Sf. Apostol Andrei” Galaţi
Valeriu Ardeleanu - University „Dunărea de Jos” Galaţi, Faculty of Medicine and Pharmacy; General Hospital CF Galaţi
PRIMARY ABDOMINAL ECTOPIC PREGNANCY TO 25 WEEKS GESTATIONAL AGE. CASE STUDY AND LITERATURE REVIEW (Abstract): Ectopic pregnancies occur in approximately 1.4% of all pregnancies and account for 15% of pregnancy-related deaths. The incidence of abdominal pregnancy is at 10.9 per 100,000 live births and 9.2 per 1,000 ectopic pregnancies. The mortality rate associated with early abdominal pregnancies can be as high as 30/1000. Abdominal pregnancy may be secondary, following a tubal abortion or it may rarely be primary,due to direct implantation. Maternal mortality rate after laparotomy have been reported in the range of 0.5% and 18%, while perinatal mortality according to the fetal age, is ranged between 40% and 95%. Approximately 21% of the babies born after an abdominal extrauterine pregnancy, suffer congenital malformations, presumably due to the compression in the absence of the amniotic fluid buffer; deformations of the limbs, facial and cranial asymetries, central nervous system malformations. The present paper, presents the case of low socio-economic status patient, presenting with only intense pelvian pain and whom, following the clinical exam and echography, was diagnosed with a 25 weeks pregnancy stopped in progress. Severe oligoamnios. A C-section is decided and an abdominal pregnancy is found in the Douglas cul-de-sac. Considering the wrinkled aspect of the fetus, the pregnancy stopped in progress approximatly a month earlier, and the placenta didn’t present any risk when separating it; the post-operation evolution was favourable.
Key words: ECTOPIC PREGNANCY, ACUTE ABDOMEN, PRIMARY PERITONEAL PREGNANCY, HAEMOPERITONEUM, LAPAROSCOPY