Primary abdominal ectopic pregnancy. Case report

Abstract

Introduction: abdominal ectopic pregnancy is extremely weird, and represents 1% of all ectopic pregnancies. The gestational sac is usually implanted in the pelvis or in highly vascular areas such as the liver, spleen and mesentery. The risk of an abdominal ectopic pregnancy is seven to eight times greater than the risk of a tubal ectopic pregnancy and ninety times larger than the intrauterine pregnancy, for the weirdness of the abdominal ectopic pregnancy with increased mortality where the early suspicious diagnosis and treatment are essential.
Case presentation: the case of a patient with primary abdominal ectopic pregnancy with a gestational age of 26.5 weeks with moderated abdominal pain implanted into the mesentery, the suspected diagnosis was confirmed by means of the abdominal and transvaginal ultrasound evaluation; for its location and non fetal viability it was performed the laparotomy with immediate postoperative complicated with hypovolemic shock, it was applied the cardiovascular resuscitation and the hematoma and placental remains were evacuated, the anaphylactic reaction was controlled with the transfusion and there was a satisfactory progress.
Discussion: this is a difficult diagnosis chart to simulate various diseases and high maternal morbidity and mortality taking important physical examination and imaging studies for its early detection and reduction.
Conclusions: the pelvic inflammatory disease was recurrent in the patient and it was the main risk factor, it was diagnosed in the third trimester, its location in a highly vascular area required laparotomy and reoperation for acute hemorrhage with therapeutic success.