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Research and Reports in Gynecology and Obstetrics | Volume 3
November 14-15, 2019 | Singapore
Obstetrics and Gynecology
4th International Conference on
Surgical andmedical management of a secondary abdominal pregnancy – A case report of
a pregnancy in the posterior cul-de-sac
John Patrick C Pablico
Mary Johnston Hospital, Philippines
Abdominal pregnancy is a rare form of ectopic pregnancy,
defined as implantation of the zygote in the peritoneal
cavity. Most abdominal pregnancies follow early tubal
rupture or abortion with re-implantation. It accounts for
approximately 1% of all ectopic pregnancies, occasionally 1 in
2200 to 1 in 10, 200 pregnancies. Worldwide, few cases were
reported. In the Philippines, few cases were already recorded
but no national statistical data were available up to this date.
Likewise, this was the first ever case of abdominal pregnancy
seen and managed in our institution. This case report aims
to present case of an abdominal pregnancy managed
surgically and medically. A case of a 39-year-old, Filipina,
from General Santos City, Philippines who was initially seen
in our institution on her 17th week age of gestation with a
chief complaint of gradual abdominal enlargement. This
was associated with abdominal pain, weight loss, difficulty
in urination and defecation. Diagnosis of this case is based
on ultrasonography and MRI. Serum beta HCG were also
determined. She underwent total abdominal hysterectomy
withbilateralsalpingo-oophorectomyandremovalofproducts
of conception. Approximately 50% of the placenta were left
in situ and was managed with a single dose of Methotrexate
intramuscular injection. Levels of serum beta hCG were
serially monitored and has significantly declined from the
baseline level. Post-operatively, she was hemodynamically
stable and was unremarkable on her subsequent visits.
Because of the rarity of abdominal pregnancies, there
were no standard protocols and guidelines available. This
case may possibly provide the obstetricians knowledge
regarding the management of such cases in the future.
Speaker Biography
John Patrick C Pablico has completed his medical degree (MD) from the Far
Eastern University-Nicanor Reyes Medical Foundation in 2014. He took her
post-graduate internship at the Armed Forces of the Philippines Medical
from October 2014 to October 2015. He passed the Philippine physician
licensure examination on March 2016. Currently, he is a 3rd year resident
of the department of obstetrics and gynecology at Mary Johnston Hospital
in Tondo, Manila. He aspires to render his service and expertise to the less
privileged women in the rural area of his province of Palawan after the
completion of his residency training.
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Notes:
John Patrick C Pablico, Res Rep Gynaecol Obstet, Volume:3
DOI: 10.35841/2591-7366-C3-008