CASE REPORTS   

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2011 August;170(4):277-80

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Late diagnosis and treatment of abdominal pregnancy: a case report

Favilli A., Giannone E., Di Renzo G. C., Giannone L., Gerli S.

Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy

Ectopic pregnancy plays an important role in severe complications during the first trimester of pregnancy, causing 10% of all maternal deaths and 16% of hemorrhages in pregnancy. Abdominal pregnancy is a rare event occurring in 1.3% of ectopic gestations. We present the case of an abdominal pregnancy detected at the nineteenth week, presenting symptoms of hemoperitoneum and acute abdomen. According to our experience, an abdominal advanced pregnancy with no clinical symptoms is still a possible option. The presurgical, ultrasonographic diagnosis is somehow difficult and it is possible to find the abdominal fetus only at the time of laparotomy.