CLINICAL CASE: ЕCTOPIC ABDOMINAL PREGNANCY

Abdominal pregnancy is a rare form of abnormal ectopic pregnancy that occurs in 1:10,000 to 1:30,000 pregnancies and accounts for up to 1.4% of all ectopic pregnancies. The purpose: To determine the specific features of early instrumental diagnosis of ectopic pregnancy. Clinical Case. An ultrasound examination raised suspicion of abdominal pregnancy: primigravida, 23+2 weeks. Fetus in transverse position (head to the left), severe oligohydramnios, intrauterine growth restriction (IUGR), and placenta percreta. CT findings suggested abdominal ectopic pregnancy, while MRI findings indicated ectopic abdominal pregnancy (possibly ovarian). A medical team confirmed the diagnosis of abdominal pregnancy and recommended prolonging the pregnancy to 28 weeks for fetal benefit. Treatment was initiated, and at 29 weeks, an emergency cesarean section was performed. During laparotomy, the left internal iliac artery was clamped. A left salpingo-oophorectomy was performed along with placental removal without detachment, reducing blood loss to 450 ml. The newborn male weighed 1340 g and measured 35 cm, with Apgar scores of 2 at 1 minute and 3 at 5 minutes. The mother's postoperative course was uncomplicated, but the newborn passed away on day 14. Conclusion. Modern instrumental diagnostic methods, including ultrasound, Doppler studies, CT, and MRI, are crucial in diagnosing and determining further tactics for providing urgent care.