Management of abdominal ectopic pregnancy: case series

Abstract

Background: Abdominal ectopic pregnancy accounts for 1-1.4% of ectopic
pregnancies and is associated with a high maternal mortality rate mainly due to
massive hemorrhage. Objective: To describe the experience in the management
of abdominal ectopic pregnancy at the Instituto Nacional Materno Perinatal, Lima,
Peru. Materials and methods: Descriptive and retrospective study. The study
population was patients with a diagnosis of abdominal ectopic pregnancy during the
period 2021-2023. Data was obtained from the review of medical records. Statistical
analysis was processed in the SPSS 24 software. Results: Seven cases of abdominal
ectopic pregnancy were recorded. The mean age was 31.3 years; 57.1% of the cases
had no risk factors. The mean gestational age was 9 weeks. The majority presented
abdominal pain as the only symptom (71.4%). Preoperative diagnosis occurred in
42.9% of the cases. Hemoperitoneum was present in 57.1%. The most frequent
site of implantation was the broad ligament (42.9%). Treatment was surgical in all
cases. One case presented hemoperitoneum as a postoperative complication due
to bleeding of the placental bed. Conclusions: Surgery continues to be the treatment
of abdominal ectopic pregnancy. There is controversy regarding the removal of the
placenta in advanced gestational ages.