Abdominal pregnancy: a case of successful delivery
- Authors: Serebrennikova E.S.1, Luzan O.D.2, Rassadina M.V.2,1, Piven’ L.A.2,1, Kozak Y.V.2, Avdiyuk G.A.2, Shestakov V.A.1, Khachatryan S.M.1, Bud’ko D.A.1, Kinsht D.A.2, Skvortsova N.V.2,1, Drobinskaya A.N.1, Belousova T.V.2,1, Marinkin I.O.2,1
-
Affiliations:
- State Novosibirsk Regional Clinical Hospital
- Novosibirsk State Medical University, Ministry of Health of Russia
- Issue: No 6 (2025)
- Pages: 184-190
- Section: Clinical Notes
- URL: https://journals.eco-vector.com/0300-9092/article/view/687110
- DOI: https://doi.org/10.18565/aig.2025.45
- ID: 687110
Cite item
Open Access
Access granted
Abstract
Background: Abdominal pregnancy is an extremely rare type of ectopic pregnancy. However, it requires attention due to the risk of severe maternal complications and adverse perinatal outcomes during delivery.
Case report: This is a clinical observation of an abdominal pregnancy at 31 weeks’ gestation in a multiparous woman who had an emergency operative delivery with a favorable outcome. A 47-year-old patient was transported to the Regional Perinatal Centre by an ambulance from an outpatient department. On admission, blood pressure was 180/100 mmHg, and the pregnant woman was hospitalized to the intensive care unit (ICU). She was not registered at the antenatal clinic. She learned about the pregnancy 10 days ago for the first time at the appointment with a gastroenterologist. She presented to the doctor with abdominal pain syndrome that lasted for a month, spastic abdominal pain, belching, heartburn, abdominal bloating, weight loss of up to 8 kg. In ICU, she was examined, ultrasound and Dopplerometry were performed. The examination revealed anhydramnios, fetal growth retardation, uterine myoma with isthmic localization of nodes, hemodynamic disorders in uterine arteries, in umbilical arteries with centralization in the middle cerebral artery. A multidisciplinary council was held due to the severe condition of the pregnant woman and the questionable CTG type; the diagnosis of severe preeclampsia was made. According to the decision of the council, the patient was delivered by emergency caesarean section. During the operation, the fetus was found to be loose and positioned high up in the abdomen in a transverse position. The amniotic fluid was heavily stained with meconium. A live premature girl was delivered by the legs; the newborn’s condition was moderately severe, no asphyxia, with an Apgar score of 7/7. The parameters of the physical development of the newborn corresponded to the gestational age, with body weight measuring 1620 g and length measuring 41 cm. The placenta was located in the area of the left appendages; it was limited by the leaves of the broad ligament, in the mesosalpinx, with a network of dilated vessels connecting it to the left ovary, fallopian tube and vessels of the broad ligament. Intraoperative blood loss was 1500 ml, 33% of the blood volume.
Conclusion: The successful delivery in abdominal pregnancy was ensured by the work of a qualified surgical team. During the operation, it was possible to avoid fetal damage, profuse blood loss, and maternal mortality. The delivery was considered to be successful as the perinatal outcome was favorable, the newborn was in a satisfactory condition at birth, there were no skeletal deformities and congenital malformations, the baby was successfully treated in the neonatal pathology department and discharged in a satisfactory condition.
Full Text
About the authors
Elena S. Serebrennikova
State Novosibirsk Regional Clinical Hospital
Email: serebr154@mail.ru
ORCID iD: 0009-0000-2628-621X
PhD, Head of the Obstetrics Department, Regional Perinatal Center
Russian Federation, 630087, Novosibirsk, Nemirovich-Danchenko str., 130Oksana D. Luzan
Novosibirsk State Medical University, Ministry of Health of Russia
Author for correspondence.
Email: luzan.oksana@mail.ru
ORCID iD: 0009-0006-3375-1742
PhD, Associate Professor at the Department of Obstetrics and Gynecology
Russian Federation, 630091, Novosibirsk, Krasny Ave., 52Marina V. Rassadina
Novosibirsk State Medical University, Ministry of Health of Russia; State Novosibirsk Regional Clinical Hospital
Email: svyatoslav91@yandex.com
ORCID iD: 0009-0000-3525-1879
PhD, Teaching Assistant, Department of Obstetrics and Gynecology, Novosibirsk State Medical University, Ministry of Health of Russia; obstetrician-gynecologist, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center
Russian Federation, 630091, Novosibirsk, Krasny Ave., 52; 630087, Novosibirsk, Nemirovich-Danchenko str., 130Lyudmila A. Piven’
Novosibirsk State Medical University, Ministry of Health of Russia; State Novosibirsk Regional Clinical Hospital
Email: ludmilapiv@yandex.ru
PhD, Associate Professor at the Department of Obstetrics and Gynecology, Novosibirsk State Medical University, Ministry of Health of Russia; Head of the Gynecology Department, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center
Russian Federation, 630091, Novosibirsk, Krasny Ave., 52; 630087, Novosibirsk, Nemirovich-Danchenko str., 130Yulia V. Kozak
Novosibirsk State Medical University, Ministry of Health of Russia
Email: juliakozak@yandex.ru
ORCID iD: 0009-0007-5563-0244
PhD, Associate Professor at the Department of Obstetrics and Gynecology
Russian Federation, 630091, Novosibirsk, Krasny Ave., 52Galina A. Avdiyuk
Novosibirsk State Medical University, Ministry of Health of Russia
Email: galasoft@bk.ru
ORCID iD: 0009-0005-0264-9377
PhD, Associate Professor, Department of Obstetrics and Gynecology
Russian Federation, 630091, Novosibirsk, Krasny Ave., 52Vladislav A. Shestakov
State Novosibirsk Regional Clinical Hospital
Email: dr.v.shestacov@gmail.com
obstetrician-gynecologist, Regional Perinatal Center
Russian Federation, 630087, Novosibirsk, Nemirovich-Danchenko str., 130Sargis M. Khachatryan
State Novosibirsk Regional Clinical Hospital
Email: sargis-k@yandex.ru
obstetrician-gynecologist, Head of the Maternity Ward, Regional Perinatal Center
Russian Federation, 630087, Novosibirsk, Nemirovich-Danchenko str., 130Darya A. Bud’ko
State Novosibirsk Regional Clinical Hospital
Email: cyclopentan98@yandex.com
obstetrician-gynecologist, Regional Perinatal Center
Russian Federation, 630087, Novosibirsk, Nemirovich-Danchenko str., 130Darya A. Kinsht
Novosibirsk State Medical University, Ministry of Health of Russia
Email: dkinsht@rambler.ru
PhD, Teaching Assistant, Department of Pediatrics and Neonatology
Russian Federation, 630091, Novosibirsk, Krasny Prospekt, 52Natalya V. Skvortsova
Novosibirsk State Medical University, Ministry of Health of Russia; State Novosibirsk Regional Clinical Hospital
Email: burundukova@yandex.com
neonatologist, Department of Pathology of Newborns and Premature Newborns, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center
Russian Federation, 630091, Novosibirsk, Krasny Ave., 52; 630087, Novosibirsk, Nemirovich-Danchenko str., 130Alla N. Drobinskaya
State Novosibirsk Regional Clinical Hospital
Email: gnokb@oblmed.nsk.ru
PhD, anesthesiologist-resuscitator, Head of the Perinatal Center, Regional Perinatal Center
Russian Federation, 630087, Novosibirsk, Nemirovich-Danchenko str., 130Tamara V. Belousova
Novosibirsk State Medical University, Ministry of Health of Russia; State Novosibirsk Regional Clinical Hospital
Email: belousovatv03@yandex.ru
Dr. Med. Sci., Professor, Head of the Department of Pediatrics and Neonatology, Novosibirsk State Medical University, Ministry of Health of Russia; Head of the Pediatric Clinic, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center
Russian Federation, 630091, Novosibirsk, Krasny Ave., 52; 630087, Novosibirsk, Nemirovich-Danchenko str., 130Igor O. Marinkin
Novosibirsk State Medical University, Ministry of Health of Russia; State Novosibirsk Regional Clinical Hospital
Email: rectorngmu@yandex.ru
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology, Rector, Novosibirsk State Medical University, Ministry of Health of Russia; Head of the Obstetrics and Gynecology Clinic, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center
Russian Federation, 630091, Novosibirsk, Krasny Ave., 52; 630087, Novosibirsk, Nemirovich-Danchenko str., 130References
- Донел С., Лубис М.А., Эффенди С.У. Первичная брюшная беременность с жизнеспособным плодом: клинический случай успешного ведения. Сеченовский вестник. 2024; 15(3): 58-64. [Donel S., Lubis M.A, Effendy C.U. Primary аbdominal pregnancy with a viable fetus: clinical case of successful management. Sechenov Medical Journal. 2024; 15(3): 58-64]. https://dx.doi.org/10.47093/2218-7332.2024.15.3.58-64
- Legesse T.K., Ayana B.A., Issa S.A. Surviving fetus from a full term abdominal pregnancy. Int. Med. Case Rep. J. 2023; 16: 173-8. https://dx.doi.org/10.2147/IMCRJ.S403180
- Иванова Н.А., Гуменюк Е.Г. Брюшная беременность: что нового? Обзор литературы за 10 лет (2009-2019 гг.). Проблемы репродукции. 2021; 27(4): 142-9. [Ivanova N.A., Gumenyuk E.G. Abdominal pregnancy: what’s new? Literature review for 10 years (2009—2019). Russian Journal of Human Reproduction. 2021; 27(4): 142-9. (in Russian)]. https://dx.doi.org/10.17116/repro202127041142
- Министерство здравоохранения Российской Федерации. Клинические рекомендации. Внематочная беременность (эктопическая беременность). 2024. [Ministry of Health of the Russian Federation. Clinical guidelines. Ectopic pregnancy. 2024. (in Russian)].
- Tolefac P.N., Abanda M.H., Minkande J.Z., Priso E.B. The challenge in the diagnosis and management of an advanced abdominal pregnancy in a resource-low setting: a case report. J. Med. Case Reports. 2017; 11(1): 199. https://dx.doi.org/10.1186/s13256-017-1369-1
- Hailu F.G., Yihunie G.T., Essa A.A., Tsega W.K. Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report. BMC Pregnancy Childbirth. 2017; 17(1): 243. https://dx.doi.org/10.1186/s12884-017-1437-y
- Ефремов П.И., Ефремов А.П., Крюков В.А., Бондаревский И.Я., Шерстобитов А.В., Фортыгин А.Я., Фортыгина Ю.А., Шмаков Р.Г. Брюшная беременность с родоразрешением на большом сроке беременности. Акушерство и гинекология. 2022; 7: 142-8. [Efremov P.I., Efremov A.P., Kryukov V.A., Bondarevsky I.Ya., Sherstobitov A.V., Fortygin A.Ya., Fortygina Yu.A., Shmakov R.G. Delivery after advanced abdominal pregnancy. Obstetrics and Gynecology. 2022; (7): 142-8 (in Russian)]. https://dx.doi.org/10.18565/aig.2022.7.142-148
- Elfakir S., Zouita B., Basraoui D., Jalal H. Full term abdominal pregnancy with healthy newborn: A case report. J. Clin. Case Rep. 2018; 8(5): 1110. https://dx.doi.org/10.4172/2165-7920.10001110
- Sib S.R., Ouédraogo I., Sanogo M., Kiemtoré S., Sawadogo Y.A., Zamané H. et al. A full term abdominal pregnancy with an isthmic tubal implantation of the placenta. BMC Pregnancy Childbirth. 2018; 18(1): 448. https://dx.doi.org/10.1186/s12884-018-2071-z
- Иванова Н.А., Кормакова Т.Л., Уквальберг М.Е., Лазарева А.А. Шведкина Н.Н. Доношенная брюшная беременность. Акушерство и гинекология. 2021; 5: 180-4. [Ivanova N.A., Kormakova T.L., Ukvalberg M.E., Lazareva A.A., Shvedkina N.N. Full-term abdominal pregnancy. Obstetrics and Gynecology. 2021; (5): 180-4 (in Russian)]. https://dx.doi.org/10.18565/aig.2021.5.180-184
- Rohilla M., Joshi B., Jain V., Neetimala, Gainder S. Advanced abdominal pregnancy: a search for consensus. Review of literature along with case report. Arch. Gynecol. Obstet. 2018; 298(1): 1-8. https://dx.doi.org/10.1007/s00404-018-4743-3
- Министерство здравоохранения Российской Федерации. Клинические рекомендации. Преэклампсия. Эклампсия. Отеки, протеинурия и гипертензивные расстройства во время беременности, в родах и послеродовом периоде. 2024. [Ministry of Health of the Russian Federation. Clinical guidelines. Preeclampsia. Eclampsia. Edema, proteinuria, and hypertensive disorders during pregnancy, delivery, and postpartum. 2024. (in Russian)].
- Министерство здравоохранения Российской Федерации. Клинические рекомендации. Преждевременные роды. 2020. [Ministry of Health of the Russian Federation. Clinical guidelines. Preterm birth. 2020. (in Russian)].
- Министерство здравоохранения Российской Федерации. Клинические рекомендации. Роды одноплодные, родоразрешение путем операции кесарева сечения. 2021. [Ministry of Health of the Russian Federation. Clinical guidelines. Singleton delivery, delivery by cesarean section. 2021. (in Russian)].
- Бондаренко Н.Н., Андреева Е.Ю., Филипчик А.Н., Протопопова Н.В., Панасюк А.И., Шапошникова М.А., Шишкина Н.В., Павлов А.Б. Случай пренатальной диагностики брюшной беременности. Пренатальная диагностика. 2012; 11(3): 249-53. [Bondarenko N.N., Andreeva E.Yu., Filipchik A.N., Protopopova N.V., Panasyuk A.I., Shaposhnikova M.A., Shishkina N.V., Pavlov A.B. Case of prenatal diagnosis of abdominal pregnancy. Prenatal Diagnosis. 2012; 11(3): 249-53 (in Russian)].
Supplementary files
