A Case of Retained Abdominal Pregnancy.

Hwang, Eui Soo; Suh, Chang Sik; Kang, Seon Young; Jeong, Nan Ju

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(3):687-692.
Published online January 1, 2001.

A Case of Retained Abdominal Pregnancy.

Eui Soo Hwang, Chang Sik Suh, Seon Young Kang, Nan Ju Jeong

Department of Obstetrics and Gynecology, St. Francisco General Hospital, Seoul, Korea.

Abstract

Intra-abdominal pregnancy is uncommon occurrence, constituting only 1% of all ectopic pregnancy. It is usually the result of a tubal or ovarian pregnancy that has aborted or ruptured into the peritoneal cavity. However, the complications of abdominal pregnancy can be devastating. Premature placental separation with massive hemorrhage, hypofibrinogenemia following fetal demise, and suppuration and abscess formation lead to producing maternal health risk. A perinatal mortality and maternal mortality were 85-95% and 0.5-6% respect-ively, from the world literature. Optimal obstetrical care requires early diagnosis and prompt surgical intervention. Recently, a patient presented to the St.Francisco general Hospital with a retained abdominal pregnancy of 6 years duration without complications, as discussed below.

Key Words: Retained abdominal pregnancy, Ectopic pregnancy, Lithopedion