Minimally invasive management of an advanced abdominal pregnancy.

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Publication Details

Output type: Journal article

Author list: Rahaman, Berkowitz, Mitty, Gaddipati, Brown, Nezhat

Publisher: Lippincott, Williams & Wilkins

Publication year: 2004

Journal: Obstetrics & Gynecology (0029-7844)

Volume number: 103

Issue number: 5 Pt 2

Start page: 1064

End page: 8

Number of pages: -1055

ISSN: 0029-7844

Languages: English-Great Britain (EN-GB)

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Open access status: closed

Abstract

BACKGROUND\nAdvanced abdominal pregnancy is a rare, life-threatening condition that presents a number of challenges.\nCASE\nA 29-year-old primigravida with 10 years of secondary infertility and a previous tuboplasty had a 21-week abdominal pregnancy treated with preoperative arterial embolization before laparoscopically assisted fetal delivery. Postoperatively, 4 cycles of methotrexate were administered at 50 mg/m2 intramuscularly every 3 weeks for the retained abdominal placenta. Subsequent spontaneous conception occurred, and a live, full-term infant was delivered by cesarean delivery 17 months later. No adverse sequelae were found during long-term follow-up.\nCONCLUSION\nThis report demonstrates successful minimally invasive management of an advanced abdominal pregnancy with a multimodal approach that included preoperative arterial embolization, laparoscopically assisted delivery, and judicious use of postoperative methotrexate.

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