tailieunhanh - Báo cáo y học: " Secondary abdominal pregnancy and its associated diagnostic and operative dilemma: three case reports"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Secondary abdominal pregnancy and its associated diagnostic and operative dilemma: three case reports | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Secondary abdominal pregnancy and its associated diagnostic and operative dilemma three case reports Pratiksha Gupta Alka Sehgal Anju Huria and Reeti Mehra Address Department of Obstetrics and Gynecology Government Medical College and Hospital Sector 32B Chandigarh 160030 India Email PG - drpratiksha@ AS - alkasehgal@ AH - anjuhuria@ RM - drreetidatta@ Corresponding author Received 9 September 2008 Accepted 27 January 2009 Published 7 August 2009 Journal ofMedical Case Reports 2009 3 7382 doi 1752-1947-3-7382 This article is available from http jmedicalcasereports article view 7382 2009 Gupta et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Abdominal pregnancy is extremely rare and has historically been defined as an implantation in the peritoneal cavity exclusive of tubal ovarian or intraligamentary pregnancy. Case presentations Three cases are reported. All came from a lower middle-income group and all of them were subjected to surgery. The first patient was a 30-year-old woman who was pregnant for the fourth time who presented at 16 weeks with an abdominal pregnancy. She was admitted with constant abdominal pain and retention of urine. She was hemodynamically stable and was administered a pre-operative intramuscular injection of methotrexate. During laparotomy she had only minor blood loss the major part of the placenta was removed easily and she did not require any blood transfusion. Serum beta human chorionic gonadotrophin values and ultrasound follow-up revealed a normal study four weeks after surgery. The second patient was a 26-year-old woman pregnant for .

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