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AJP Rep 2014; 4(01): 055-060
DOI: 10.1055/s-0034-1371749
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Conservative Management of an Advanced Abdominal Pregnancy at 22 Weeks

Louis Marcellin
1   Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique–Hôpitaux de Paris, Paris, France
2   DHU Risques et Grossesse, Université Paris Descartes, Paris, France
,
Sophie Ménard
1   Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique–Hôpitaux de Paris, Paris, France
2   DHU Risques et Grossesse, Université Paris Descartes, Paris, France
,
Marie-Charlotte Lamau
1   Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique–Hôpitaux de Paris, Paris, France
,
Alexandre Mignon
3   Université Paris Descartes, Assistance Publique-Hôpitaux de Paris, Paris, France
4   Department of Anaesthesia and Critical Care Paris, Cochin University Hospital, Paris, France
,
Marie Stephanie Aubelle
2   DHU Risques et Grossesse, Université Paris Descartes, Paris, France
5   Service de Médecine et Réanimation néonatales de Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique–Hôpitaux de Paris, Paris, France
,
Gilles Grangé
1   Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique–Hôpitaux de Paris, Paris, France
2   DHU Risques et Grossesse, Université Paris Descartes, Paris, France
,
François Goffinet
1   Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique–Hôpitaux de Paris, Paris, France
2   DHU Risques et Grossesse, Université Paris Descartes, Paris, France
› Author Affiliations
Further Information

Publication History

14 November 2013

20 January 2014

Publication Date:
02 April 2014 (online)

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Abstract

Objective We report an uneventful conservative approach of an advanced abdominal pregnancy discovered at 22 weeks of gestation.

Study Design This study is a case report.

Results Attempting to extend gestation of an advanced abdominal pregnancy is not a common strategy and is widely questioned. According to the couple's request, the management consisted in continuous hospitalization, regular ultrasound scan, and antenatal corticosteroids. While the woman remained asymptomatic, surgery was planned at 32 weeks, leading to the birth of a preterm child without any long-term complications. Placenta was left in situ with a prophylactic embolization, and its resorption was monitored.

Conclusion Depending on multidisciplinary cares and agreement of the parents, when late discovered, prolonging advanced abdominal pregnancy appears to be a reasonable option.

Keywords

advanced abdominal pregnancy - preterm delivery - placental embolization
 

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