Abdominal pregnancy: a case of successful delivery
Serebrennikova E.S., Luzan O.D., Rassadina M.V., Piven' L.A., Kozak Yu.V., Avdiyuk G.A., Shestakov V.A., Khachatryan S.M., Bud'ko D.A., Kinsht D.A., Skvortsova N.V., Drobinskaya A.N., Belousova T.V., Marinkin I.O.
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.
Authors’ contributions: Marinkin I.O., Piven' L.A., Luzan O.D., Drobinskaya A.L. – developing the concept and design of the observation; Rassadina M.V., Kozak Yu.V., Avdiyuk G.A., Bud'ko D.A., Kinsht D.A., Skvortsova N.V. – collecting and processing the material; Luzan O.D., Rassadina M.V. – writing the text; Serebrennikova E.S., Rassadina M.V., Shestakov V.A.,
Khachatryan S.M. – description of the course of the operation; Marinkin I.O., Belousova T.V. – editing the article.
Conflicts of interest. Authors declare lack of the possible conflicts of interests.
Funding: The study was carried out without sponsorship.
Ethical Approval: The description of the clinical observation was approved by the ethical committee of the leading organization.
Patient Consent for Publication: The patient signed informed consent for the publication of her data and and associated images.
For citation: Serebrennikova E.S., Luzan O.D., Rassadina M.V., Piven' L.A., Kozak Yu.V., Avdiyuk G.A., Shestakov V.A., Khachatryan S.M., Bud'ko D.A., Kinsht D.A., Skvortsova N.V., Drobinskaya A.N.,
Belousova T.V., Marinkin I.O. Abdominal pregnancy: a case of successful delivery.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (6): 184-190 (in Russian)
https://dx.doi.org/10.18565/aig.2025.45
Keywords
abdominal pregnancy
perinatal outcomes
premature newborn
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Received 25.02.2025
Accepted 21.05.2025
About the Authors
Elena S. Serebrennikova, PhD, Head of the Obstetrics Department, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center, 630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(913)776-7287, serebr154@mail.ru, https://orcid.org/0009-0000-2628-621XOksana D. Luzan, PhD, Associate Professor at the Department of Obstetrics and Gynecology, Novosibirsk State Medical University, Ministry of Health of Russia,
630091, Russia, Novosibirsk, Krasny Ave., 52, +7(903)903-70-64, luzan.oksana@mail.ru
Marina V. Rassadina, PhD, Teaching Assistant, Department of Obstetrics and Gynecology, Novosibirsk State Medical University, Ministry of Health of Russia,
630091, Russia, Novosibirsk, Krasny Ave., 52; obstetrician-gynecologist, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center,
630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(963)949-58-01, svyatoslav91@yandex.com
Lyudmila A. Piven’, PhD, Associate Professor at the Department of Obstetrics and Gynecology, Novosibirsk State Medical University, Ministry of Health of Russia,
630091, Russia, Novosibirsk, Krasny Ave., 52; Head of the Gynecology Department, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center,
630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(913)916-95-06, ludmilapiv@yandex.ru
Yulia V. Kozak, PhD, Associate Professor at the Department of Obstetrics and Gynecology, Novosibirsk State Medical University, Ministry of Health of Russia,
630091, Russia, Novosibirsk, Krasny Ave., 52, +7(913)914-77-11, juliakozak@yandex.ru, https://orcid.org/0009-0007-5563-0244
Galina A. Avdiyuk, PhD, Associate Professor, Department of Obstetrics and Gynecology, Novosibirsk State Medical University, Ministry of Health of Russia,
630091, Russia, Novosibirsk, Krasny Ave., 52, +7(913)930-20-70, galasoft@bk.ru, https://orcid.org/0009-0005-0264-9377
Vladislav A. Shestakov, obstetrician-gynecologist, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center, 630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(913)717-20-15, dr.v.shestacov@gmail.com
Sargis M. Khachatryan, obstetrician-gynecologist, Head of the Maternity Ward, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center,
630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(913)787-03-03, sargis-k@yandex.ru
Darya A. Bud’ko, obstetrician-gynecologist, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center, 630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(953)866-61-09, cyclopentan98@yandex.com
Darya A. Kinsht, PhD, Teaching Assistant, Department of Pediatrics and Neonatology, Novosibirsk State Medical University, Ministry of Health of Russia,
630091, Russia, Novosibirsk, Krasny Prospekt, 52, +7(913)910-29-54, dkinsht@rambler.ru
Natalya V. Skvortsova, neonatologist, Department of Pathology of Newborns and Premature Newborns, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center, 630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(913)179-97-95, n-burundukova@yandex.com
Alla N. Drobinskaya, PhD, anesthesiologist-resuscitator, Head of the Perinatal Center, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center,
630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(913)377-77-27, gnokb@oblmed.nsk.ru
Tamara V. Belousova, Dr. Med. Sci., Professor, Head of the Department of Pediatrics and Neonatology, Novosibirsk State Medical University, Ministry of Health of Russia, 630091, Russia, Novosibirsk, Krasny Ave., 52; Head of the Pediatric Clinic, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center,
630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(913)919-14-41, belousovatv03@yandex.ru
Igor O. Marinkin, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology, Rector, Novosibirsk State Medical University, Ministry of Health of Russia, 630091, Russia, Novosibirsk, Krasny Ave., 52; Head of the Obstetrics and Gynecology Clinic, State Novosibirsk Regional Clinical Hospital, Regional Perinatal Center, 630087, Russia, Novosibirsk, Nemirovich-Danchenko str., 130, +7(913)915-40-47, rectorngmu@yandex.ru
Corresponding author: Oksana D. Luzan, luzan.oksana@mail.ru
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