Case report highlights abdominal pregnancy complications and urgent cesarean section in a patient with antecedent conditions.
Abdominal pregnancy is a rare form of ectopic pregnancy and accounts for 0.1% of all pregnancies. This pathology is associated with unfavorable outcomes due to difficult diagnosis and lack of a unified management strategy. The article describes a case of abdominal pregnancy with live birth. The patient was registered at the antenatal clinic from an early stage. Screening ultrasounds were performed on time, which described a developmental anomaly-a two-horned uterus, as well as signs of placenta previa. According to the routing, the pregnant woman had been in a level 3 obstetric hospital since 33 weeks. On the 7th day of inpatient treatment, the patient complained of shingles, aching pain in the epigastric region, and nausea. An instrumental, clinical and laboratory examination was performed, and an additional diagnosis was made: chronic pancreatitis, incomplete remission. The patient was transferred to a multidisciplinary hospital, the Regional Clinical Hospital. The next day, a follow-up obstetric ultrasound was performed, which recorded a decrease in the amniotic fluid index of 0 mm. Given the absolute lack of water, complete presentation, and placenta accreta, the patient was delivered by cesarean section as a matter of urgency. During the operation, the diagnosis was made: abdominal pregnancy. A live, premature baby girl was born.
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Mochalova et al. (2025) studied this question.
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