16 iul. ABDOMINAL PREGNANCY: A SINTHETIC REVIEW FOR SURGEONS
Jeican I. I.1, Gheban D.2, Pop T. R.1
1 5th Department of Surgery, Clinical Municipal Hospital Cluj-Napoca,Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca
2 Department of Pathology, Iuliu Haţieganu University of Medicine and Pharmacy Cluj-Napoca
Abdominal pregnancy is a very rare subtype of ectopic pregnancy, usually missed during prenatal assessment.
The placenta can be attached to the uterine wall, adnexal, bowel, omentum, mesentery, liver, spleen, bladder, pouch of Douglas or large vessels. The placenta can be detach at any time during pregnancy leading to torrential blood loss.
Patients with the abdominal pregnancy have persistent abdominal and/or gastrointestinal symptoms during their pregnancy. The ultrasonography remains the main method for the diagnosis of extra uterine pregnancy during the end of the first trimester or early in the second trimester. For advanced abdominal pregnancy, magnetic resonance imaging can be useful. Abdominal pregnancy can be met by both obstetricians and surgeons, and the main technical difficulties appear at the removal of the placental tissue and for the control of the haemorrhage. Laparoscopic treatment must be considered for early abdominal pregnancy.