Interdisciplinary management of a viable term abdominal ectopic pregnancy.

Pregnancy (Hoboken, N.J.) Pub Date : 2026-06-01 eCollection Date: 2026-07-01 DOI:10.1002/pmf2.70336
Sarena Hayer, Natasha Q McGlaun, Katerina A Furman, Michael R Manuel, Gouri B Sadananda, Daniel Manzoor, Swati Bhardwaj, Tanu Patel, Sara Dayanim, John A Ozimek
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Abstract

Introduction: Abdominal ectopic pregnancies are rare and associated with increased maternal morbidity and mortality. As the majority are diagnosed early in gestation, there are few reports of management of advanced abdominal ectopic pregnancies.

Case: A 41-year-old gravida 2 para 1 presented with fatigue and a known left ovarian cyst. She was found to have a term, viable abdominal ectopic pregnancy and underwent exploratory laparotomy, abdominal delivery, left oophorectomy, and supracervical hysterectomy. The patient and her infant recovered well and were discharged home in stable condition.

Conclusion: In this unusual case, multiple imaging modalities were needed to arrive at a diagnosis and plan for optimal surgical management. Interdisciplinary care planning at a well-resourced referral center allowed for the successful management of this complex case.

可存活足月腹部异位妊娠的跨学科治疗。
腹部异位妊娠是罕见的,与产妇发病率和死亡率增加有关。由于大多数在妊娠早期就被诊断出来,晚期腹部异位妊娠的治疗报道很少。病例:41岁妊娠2期1例,表现为疲劳和已知左侧卵巢囊肿。她被发现有一个足月,可行的腹部异位妊娠,并进行了探查性剖腹手术、腹部分娩、左卵巢切除术和宫颈上子宫切除术。患者及其婴儿恢复良好,出院时情况稳定。结论:在这种不寻常的情况下,需要多种成像方式来达到诊断和计划最佳的手术处理。在资源丰富的转诊中心进行跨学科的护理规划,可以成功地管理这一复杂的病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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