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Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases

Advanced abdominal pregnancy is an extremely rare condition that poses diagnostic and management challenges. A high index of suspicion and careful assessment of the patient's symptoms, supplemented with obstetric ultrasound, and magnetic resonance imaging, are crucial for timely diagnosis and m...

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Autores principales: Harirah, Hassan M., Smith, J. Michael, Dixon, C. Luke, Hankins, Gary D. V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2016
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008960/
https://www.ncbi.nlm.nih.gov/pubmed/27595049
http://dx.doi.org/10.1055/s-0036-1588003
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author Harirah, Hassan M.
Smith, J. Michael
Dixon, C. Luke
Hankins, Gary D. V.
author_facet Harirah, Hassan M.
Smith, J. Michael
Dixon, C. Luke
Hankins, Gary D. V.
author_sort Harirah, Hassan M.
collection PubMed
description Advanced abdominal pregnancy is an extremely rare condition that poses diagnostic and management challenges. A high index of suspicion and careful assessment of the patient's symptoms, supplemented with obstetric ultrasound, and magnetic resonance imaging, are crucial for timely diagnosis and management to prevent life-threatening complications. The presence of periviable fetuses in advanced abdominal pregnancies increases the challenge to achieve a balance between maternal and fetal benefits and risks. Early diagnosis and management decisions via a multidisciplinary approach and planned delivery are of paramount importance to minimize complications and achieve favorable maternal and fetal outcomes. Even in the setting of oligohydramnios and suspected preterm premature rupture of membranes, in-patient conservative management and an individualized planned surgical approach that includes removing or leaving the placenta in place are appropriate for managing the periviable abdominal pregnancy.
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spelling pubmed-50089602016-09-02 Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases Harirah, Hassan M. Smith, J. Michael Dixon, C. Luke Hankins, Gary D. V. AJP Rep Advanced abdominal pregnancy is an extremely rare condition that poses diagnostic and management challenges. A high index of suspicion and careful assessment of the patient's symptoms, supplemented with obstetric ultrasound, and magnetic resonance imaging, are crucial for timely diagnosis and management to prevent life-threatening complications. The presence of periviable fetuses in advanced abdominal pregnancies increases the challenge to achieve a balance between maternal and fetal benefits and risks. Early diagnosis and management decisions via a multidisciplinary approach and planned delivery are of paramount importance to minimize complications and achieve favorable maternal and fetal outcomes. Even in the setting of oligohydramnios and suspected preterm premature rupture of membranes, in-patient conservative management and an individualized planned surgical approach that includes removing or leaving the placenta in place are appropriate for managing the periviable abdominal pregnancy. Thieme Medical Publishers 2016-07 /pmc/articles/PMC5008960/ /pubmed/27595049 http://dx.doi.org/10.1055/s-0036-1588003 Text en © Thieme Medical Publishers
spellingShingle Harirah, Hassan M.
Smith, J. Michael
Dixon, C. Luke
Hankins, Gary D. V.
Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases
title Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases
title_full Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases
title_fullStr Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases
title_full_unstemmed Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases
title_short Conservative Management and Planned Surgery for Periviable Advanced Extrauterine Abdominal Pregnancy with Favorable Outcome: Report of Two Cases
title_sort conservative management and planned surgery for periviable advanced extrauterine abdominal pregnancy with favorable outcome: report of two cases
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5008960/
https://www.ncbi.nlm.nih.gov/pubmed/27595049
http://dx.doi.org/10.1055/s-0036-1588003
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