Advanced ectopic abdominal pregnancy

Authors

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2025.207679

Keywords:

Ectopic pregnancy, Abdominal pregnancy, Live birth, Laparotomy, Placent

Abstract

Abdominal ectopic pregnancy is a rare event, with an incidence ranging from 1 in 10,000 to 1 in 30,000 live births, usually associated with high maternal and fetal mortality. Cases progressing to term are rare. This report describes the case of a 40-year-old patient with a history of tubal ligation performed 14 years earlier, who was asymptomatic and referred to a high-risk maternity unit after an ultrasound diagnosis of advanced abdominal ectopic pregnancy with a viable fetus at 32 weeks. An exploratory laparotomy was performed, resulting in the birth of a live male infant with Apgar scores of 8 and 8 at the 1st and 5th minutes, respectively, weighing 2,010 grams, presenting structural anomalies and limb deformities. The placenta was implanted in the right broad ligament and partially in the bladder, being removed without complications. Both mother and newborn evolved favorably, with maternal discharge six days after the procedure.

Downloads

Download data is not yet available.

Author Biographies

  • Sylvia Christina de Souza Conde, Instituto de Medicina Integral Professor Fernando Figueira, Recife, (PE), Brasil

    Residente em Ginecologia e Obstetrícia 

  • Lisiane Vital de Oliveira, Centro Universitário CESMAC, Maceió, (AL), Brasil

    Médica

  • Herysttawo Augustto Ramos de Farias, Universidade Estadual de Ciências da Saúde de Alagoas, Maceió, (AL), Brasil

    Médico Ginecologista e Obstetra

  • Lavici dos Anjos de Melo Costa Garbini, Centro Universitário CESMAC, Maceió, (AL), Brasil

    Médico Ginecologista e Obstetra

  • Robério Garbini, Centro Universitário CESMAC, Maceió, (AL), Brasil

    Médica Ginecologista e Obstetra

  • Lívia Helena Gomes de Barros Brandão, Instituto de Medicina Integral Professor Fernando Figueira, Recife, (PE), Brasil

    Residente em Ginecologia e Obstetrícia

References

1. Siati A, Berrada T, Baidada A, Kharbach A. Abdominal pregnancy with a healthy newborn: a new case. Pan African Medical jornal. 2019;34:35.

2. Deng MX, Zou Y. Evaluating a magnetic resonance imaging of the third-trimester abdominal pregnancy: what the radiologista needs to know. Wolters Kluwer Health, Inc. 2017;96:48.

3. Nassali MN, Benti TM, Bandani-Ntsabele M, Musinguzi E. A case report of na asymptomatic late term abdominal pregnancy with a live birth at 41 weeks of gestation. BMC Res Notes. 2016;9:31.

4. Abdelrahman S, Deeter M, Muthusami A, Peterson TG, Wackenier L. A live term intra-abdominal pregnancy in a Field Hospital: a case report. J Surg Case Rep. 2017; (3).

5. Araújo MMP, Neto RHC, Oliveira FAR. Gravidez abdominal de 37 semanas com neonato saudável: relato de caso. Rev Med UFC. 2018;58(2):59-62.

6. Vaishali J, Sonal J, Shikha J, Jitendra R. A Rare Case of Secondary Abdominal Pregnancy that Resulted in a Healthy Newborn. The Journal of Obstetrics and Gynecology of India. 2012; 64 (6): 430-432.

7. Huang K, Song L, Wang L, Gao Z, Meng Y, Lu Y. Advanced abdominal pregnancy: na increasingly challenging clinical concern for obstetricians. Int J Clin Ex Pathol. 2014;7(9):5461-72.

8. Baffoe P, Fofie C, Gandau, BN. Term Abdominal Pregnancy with Healthy Newborn: A Case Report. Ghana Med J. 2011; 45 (2): 81-83.

9. Mengistu Z, Getachew A, Adefris M. Term abdominal pregnancy: a case report. Journal of Medical Case Reports. 2015; 9:168.

10. Bhoil R, Aggarwal N, Jhobta A, Sharma S. Advanced Abdominal Pregnancy With Successful Outcome. Intern Emerg Med. 2016; 11(6): 877-878.

11. Bertrand G, Le Ray C, Simard-Emond L, Dubois J, Leduc L. Imaging in the Management of Abdominal Pregnancy: A Case Report and Review of the Literature. J Obstet Gynaecol Can. 2009; 31(1): 56-60.

12. Ansong E, Illahi GS, Shen L, Wu X. Analyzing the Clinical Significance of Postoperative Methotrexate in the Management of Early Abdominal Pregnancy: Analysis of 10 Cases. Ginekol Pol. 2019; 90 (8): 438-443.

13. Rohilla M, Joshi B, Neetimala VJ, Gainder S. Advanced abdominal pregnancy: a search for consensus. Review of literature along with case report. Arch Gynecol Obstet. 2018; 298 (1):1-8.

Downloads

Published

2026-03-31

Issue

Section

Relato de Caso

How to Cite

1.
Conde SC de S, Oliveira LV de, Farias HAR de, Garbini L dos A de MC, Garbini R, Brandão LHG de B. Advanced ectopic abdominal pregnancy. Medicina (Ribeirão Preto) [Internet]. 2026 Mar. 31 [cited 2026 Apr. 1];58(4):e-207679. Available from: https://revistas.usp.br/rmrp/article/view/207679