Document Detail


Extrauterine abdominal pregnancy: report of a case.
MedLine Citation:
PMID:  10723297     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A healthy, 34-year-old, gravida 3, para 1,011, patient presented for cesarean delivery in her 35th week of gestation with a diagnosis of complete placenta previa. During her 26th week of gestation, the patient was admitted to a high-risk obstetric unit with the diagnosis of premature rupture of membranes. Numerous ultrasonographic studies were conducted throughout her 10-week hospital stay, confirming the admitting diagnosis. A routine cesarean section was planned, and preparations were made for a potential increase in blood loss related to the placenta previa. The procedure began under spinal anesthesia and, upon incision of the abdomen, an extrauterine pregnancy was identified. The patient was immediately anesthetized and intubated at the request of the surgeon. During the 3-hour surgical procedure, the patient sustained massive blood loss, transfusions, central line placement, and aggressive pharmacological therapy. The patient was extubated the day after surgery, and was discharged approximately 1 week later. The only major complication was compartment syndrome of the left upper extremity related to the infiltration of vasopressors requiring fasciotomy and closure 2 days later. The incidence, morbidity/mortality, and anesthetic implications of abdominal pregnancy are reviewed.
Authors:
T Rice; C Bowser
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  CRNA : the clinical forum for nurse anesthetists     Volume:  10     ISSN:  1048-2687     ISO Abbreviation:  CRNA     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2000-06-29     Completed Date:  2000-06-29     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  9109511     Medline TA:  CRNA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  181-3     Citation Subset:  N    
Affiliation:
Anesthesia Associates of Kansas City, MO, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, General / methods,  nursing
Cesarean Section*
Compartment Syndromes / etiology
Diagnostic Errors*
Female
Fetal Membranes, Premature Rupture / etiology
Humans
Leg / blood supply
Nurse Anesthetists
Placenta Previa / ultrasonography*
Pregnancy
Pregnancy, Abdominal / complications,  surgery*,  ultrasonography*
Ultrasonography, Prenatal*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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