Objective: To define abdominal ectopic pregnancy outcomes by both location and treatment. Methods: Literature review of abdominal pregnancies from 1965 to August of 2009. Ectopic pregnancy exclusions were interstitial, tubal, cervical, ovarian, or those beyond 20 weeks at diagnosis/treatment. Results: There were 511 cases identified with 225 meeting the inclusion criteria. There were 7 maternal deaths (3.0%) with 18 (8%) of the early abdominal ectopic pregnancies occurring with an intrauterine device in place. Mean gestational age at the time of treatment was 10 weeks 0 days and mean maternal age was 29.7 years. The average blood loss associated with treatment was 1,450 ml. The top three sites of early abdominal ectopic pregnancies were pouches around the uterus (24.3%), serosal surface of the uterus and tubes (23.9%), and multiple sites (12.8%). Primary surgical management was performed in 208 cases (87.8%). Nonsurgical adjuvant or primary therapy included intramuscular methotrexate, intralesional methotrexate, intracardiac KCl, and artery embolization. Conclusion: Abdominal pregnancies should be considered in all patients until an intrauterine location can be confirmed. Understanding treatment options by pregnancy location may be helpful in the management of this potentially life-threatening condition.

Keywords:
Ectopic pregnancy outcomes, Maternal mortality, Pathophysiology, Pregnancy outcomes, Abdominal ectopic pregnancy, Abdominal pregnancies, literature review, Ectopic pregnancies
1.
Studdiford WE: Primary peritoneal pregnancy. Am J Obstet Gynecol 1942;44:487–491.
2.
Atrash HK, Friede A, Hogue CJ: Abdominal pregnancy in the United States: frequency and maternal mortality. Obstet Gynecol 1987;69:333–337.
3.
Allibone GW, Fagan CJ, Porter SC: The sonographic features of intra-abdominal pregnancy. J Clin Ultrasound 1981;9:383–387.
4.
Angtuaco TL, Shah HR, Neal MR, Quirck JG: Ultrasound evaluation of abdominal pregnancy. Crit Rev Diagn Imaging 1994;35:1–59.
5.
Apostolakis AP, Freeth D: Secondary abdominal pregnancy coexisting with intrauterine pregnancy. Panminerva Med 1977;19:75–78.
6.
Arora VK: Abdominal pregnancy following total hysterectomy. Int Surg 1983;68:253–255.
7.
Brandt AL, Tolson D: Missed abdominal ectopic pregnancy. J Emerg Med 2006;30:171–174.
8.
Chatterjee SK, Chatterjee S, Chaudhuri P: Primary abdominal pregnancy complicated by intestinal obstruction. J Indian Med Assoc 1975;64:43–45.
9.
Cheng WF, Ho HN, Yang YS, Huang SC: Abdominal pregnancy after gonadotropin superovulation and intrauterine insemination: a case report. Am J Obstet Gynecol 1994;171:1394–1395.
10.
Cheung VY, Rosenthal DM: Abdominal pregnancy. J Minim Invasive Gynecol 2005;12:9.
11.
Cooper JA: Early primary peritoneal pregnancy. J Obstet Gynaecol Br Commonw 1968;75:232–233.
12.
Crespo R, Campillos JM, Villacampa A, Madani B, Navarro R, Tobajas JJ: Successful methotrexate treatment of an abdominal pregnancy in the pouch of Douglas. Clin Exp Obstet Gynecol 2008;35:289–290.
13.
Daw E, Colaco E: Primary peritoneal pregnancy on the anterior surface of the uterus. Br J Clin Pract 1978;32:205, 207.
14.
DelRosario R, el-Roeiy A: Abdominal pregnancy on the bladder wall following embryo transfer with cryopreserved-thawed embryos: a case report. Fertil Steril 1996;66:839–841.
15.
Durukan T, Urman B, Yarali H, Arikan U, Beykal O: An abdominal pregnancy 10 years after treatment for pelvic tuberculosis. Am J Obstet Gynecol 1990;163:594–595.
16.
Garrett WJ, Crowe PH, Robinson DE: The interpretation of ultrasonic echograms in abdominal pregnancy. Aust NZ J Obstet Gynaecol 1969;9:26–28.
17.
Geisler JP, Cline M, Eskew N Jr: Successful laparoscopic treatment of an abdominal pregnancy in the posterior cul-de-sac. Clin Exp Obstet Gynecol 2000;27:83–84.
18.
Gerli S, Rossetti D, Baiocchi G, Clerici G, Unfer V, Di Renzo GC: Early ultrasonographic diagnosis and laparoscopic treatment of abdominal pregnancy. Eur J Obstet Gynecol Reprod Biol 2004;113:103–105.
19.
Giannopoulos T, Katesmark M: Ruptured tubal ectopic pregnancy with secondary implantation in the pouch of Douglas. J Obstet Gynaecol 2004;24:199–200.
20.
Ginath S, Malinger G, Golan A, Shahmurov M, Glezerman M: Successful laparoscopic treatment of a ruptured primary abdominal pregnancy. Fertil Steril 2000;74:601–602.
21.
Golbus MS, Sweet RL: Attempted prostaglandin abortion in two cases of abdominal pregnancy. Contraception 1976;13:385–388.
22.
Goldman GA, Dicker D, Ovadia J: Primary abdominal pregnancy: can artificial abortion, endometriosis and IUD be etiological factors? Eur J Obstet Gynecol Reprod Biol 1988;27:139–143.
23.
Graham D, Johnson TR Jr, Sanders RC: Sonographic findings in abdominal pregnancy. J Ultrasound Med 1982;1:71–74.
24.
Hallatt JG, Grove JA: Abdominal pregnancy: a study of twenty-one consecutive cases. Am J Obstet Gynecol 1985;152:444–449.
25.
Hsieh CH, Hsu TY, Changchien CC: Abdominal pregnancy – report of two cases and review of literature. Changgeng Yi Xue Za Zhi 1994;17:268–275.
26.
Jain S, Justus K, Bober S: Selective transvaginal embryo reduction in heterotopic pregnancy located intra-abdominally. J Obstet Gynaecol 2002;22:330.
27.
Johnson AG: Primary peritoneal pregnancy. Br Med J 1968;4:96–97.
28.
Kasby C, Krins A: Primary peritoneal pregnancy in association with intrauterine contraceptive devices: two case reports. Br J Obstet Gynaecol 1978;85:794–795.
29.
Knopman JM, Talebian S, Keegan DA, Grifo JA: Heterotopic abdominal pregnancy following two-blastocyst embryo transfer. Fertil Steril 2007;88:1437.e13–e15.
30.
Kun KY, Wong PY, Ho MW, Tai CM, Ng TK: Abdominal pregnancy presenting as a missed abortion at 16 weeks’ gestation. Hong Kong Med J 2000;6:425–427.
31.
Kwok A, Chia KK, Ford R, Lam A: Laparoscopic management of a case of abdominal ectopic pregnancy. Aust NZ J Obstet Gynaecol 2002;42:300–302.
32.
Lawson JP, Myerson DA, Myerson PJ: Abdominal pregnancy. Br J Radiol 1976;49:723–726.
33.
Little KJ, Green MM: Abdominal gestation. J Emerg Med 1995;13:195–198.
34.
Martin JN Jr, Sessums JK, Martin RW, Pryor JA, Morrison JC: Abdominal pregnancy: current concepts of management. Obstet Gynecol 1988;71:549–557.
35.
McCullough AM: Abdominal pregnancy. Case report and review of the literature. J R Army Med Corps 1986;132:16–18.
36.
Muzsnai D, Hughes T, Price M, Bruksch L: Primary abdominal pregnancy associated with the IUD (two case reports). Eur J Obstet Gynecol Reprod Biol 1980;10:275–278.
37.
Oliver R, Malik M, Coker A, Morris J: Management of extratubal and rare ectopic pregnancies: case series and review of current literature. Arch Gynecol Obstet 2007;276:125–131.
38.
Raynal P, Le Meaux JP, Lepercq J: Medical treatment of abdominal pregnancy. Eur J Obstet Gynecol Reprod Biol 2004;117:245–246.
39.
Ringrose CA: The occurrence of non-tubal ectopic pregnancies in women with an intrauterine device. J Reprod Fertil 1979;55:373–374.
40.
Ross JA, Hacket E, Lawton F, Jurkovic D: Massive ascites due to abdominal pregnancy. Hum Reprod 1997;12:390–391.
41.
Sacchi S, Vinci MO, Bellini F, Papotti M: Uncommon cases of ectopic pregnancy in a rural hospital. East Afr Med J 1986;63:813–817.
42.
Shaw SW, Hsu JJ, Chueh HY, Han CM, Chen FC, Chang YL, Chao AS, Cheng PJ, Hsieh TT, Soong YK: Management of primary abdominal pregnancy: twelve years of experience in a medical centre. Acta Obstet Gynecol Scand 2007;86:1058–1062.
43.
Shin JS, Moon YJ, Kim SR, Kim KT, Moon H, Hwang YY: Primary peritoneal pregnancy implanted on the uterosacral ligament: a case report. J Korean Med Sci 2000;15:359–362.
44.
Sinha RK: Primary abdominal pregnancy: review of the literature and a report of three cases. Med J Malaya 1970;25:108–112.
45.
Tsudo T, Harada T, Yoshioka H, Terakawa N: Laparoscopic management of early primary abdominal pregnancy. Obstet Gynecol 1997;90:687–688.
46.
Veerareddy S, Sriemevan A, Cockburn JF, Overton TG: Non-surgical management of a mid-trimester abdominal pregnancy. BJOG 2004;111:281–283.
47.
Vingnali M, Busacca M, Brigante C, Doldi N, Spagnolo D, Belloni C: Abdominal pregnancy as a result of gamete intrafallopian transfer (GIFT) and subsequent treatment with methotrexate: case report. Int J Fertil 1990;35:280–283.
48.
Zinger M, Rosenfeld D: Failed treatment of abdominal pregnancy with methotrexate. A case report. J Reprod Med 2001;46:392–394.
49.
Abdalla HI, Ahuja KK, Morris N, Lynn J: Combined intra-abdominal and intrauterine pregnancies after gamete intrafallopian transfer. Lancet 1986;2:1153–1154.
50.
Ahmed AH, Martin D, Onon TS: Secondary abdominal pregnancy associated with uterine fibroid. J Obstet Gynaecol 2005;25:206–208.
51.
Balmaceda JP, Bernardini L, Asch RH, Stone SC: Early primary abdominal pregnancy after in vitro fertilization and embryo transfer. J Assist Reprod Genet 1993;10:317–320.
52.
Bertrand G, Le Ray C, Simard-Emond L, Dubois J, Leduc L: Imaging in the management of abdominal pregnancy: a case report and review of the literature. J Obstet Gynaecol Can 2009;31:57–62.
53.
Brennand JE, Morris AR, Greer IA: Prawn sandwiches, red herrings and abdominal pregnancy. Eur J Obstet Gynecol Reprod Biol 1997;74:13–14.
54.
Cordero DR, Adra A, Yasin S, O’Sullivan MJ: Intraligamentary pregnancy. Obstet Gynecol Surv 1994;49:206–209.
55.
Clark JF, Guy RS: Abdominal pregnancy. Am J Obstet Gynecol 1966;96:511–520.
56.
Dasari P, Devi S: Primary peritoneal pregnancy: a case report. J Obstet Gynaecol Res 2000;26:45–47.
57.
Delke I, Veridiano NP, Tancer ML: Abdominal pregnancy: review of current management and addition of 10 cases. Obstet Gynecol 1982;60:200–204.
58.
Deshpande N, Mathers A, Acharya U: Broad ligament twin pregnancy following in-vitro fertilization. Hum Reprod 1999;14:852–854.
59.
Fisch B, Peled Y, Kaplan B, Zehavi S, Neri A: Abdominal pregnancy following in vitro fertilization in a patient with previous bilateral salpingectomy. Obstet Gynecol 1996;88:642–643.
60.
Friedrich EG Jr, Rankin CA Jr: Primary pelvic peritoneal pregnancy. Obstet Gynecol 1968;31:649–653.
61.
Goh TH, Rahman SA: Primary peritoneal pregnancy implanted on the uterine fundus. Aust NZ J Obstet Gynaecol 1980;20:240–241.
62.
Goldman GA, Dicker D, Ovadia J: Primary abdominal pregnancy: can artificial abortion, endometriosis and IUD be etiological factors? Eur J Obstet Gynecol Reprod Biol 1988;27:139–143.
63.
Hatada Y: The pedunculated type of primary peritoneal pregnancy implanted on the infundibulopelvic ligament. Obstet Gynecol 1993;82(suppl):693–695.
64.
Kellett RJ: Primary abdominal (peritoneal) pregnancy. J Obstet Gynaecol Br Commonw 1973;80:1102–1105.
65.
Kivikoski AI, Martin C, Weyman P, Picus D, Giudice L: Angiographic arterial embolization to control hemorrhage in abdominal pregnancy: a case report. Obstet Gynecol 1988;71:456–459.
66.
Kornblatt MB: Abdominal pregnancy following a total hysterectomy. Report of a case. Obstet Gynecol 1968;32:488–489.
67.
Loong EP, Kwok P: Management of early abdominal pregnancy. Br J Clin Pract 1988;42:259–261.
68.
Malian V, Lee JH: MR imaging and MR angiography of an abdominal pregnancy with placental infarction. AJR Am J Roentgenol 2001;177:1305–1306.
69.
Morita Y, Tsutsumi O, Kuramochi K, Momoeda M, Yoshikawa H, Taketani Y: Successful laparoscopic management of primary abdominal pregnancy. Hum Reprod 1996;11:2546–2547.
70.
Phupong V, Lertkhachonsuk R, Triratanachat S, Sueblinvong T: Pregnancy in the broad ligament. Arch Gynecol Obstet 2003;268:233–235.
71.
Siow A, Chern B, Soong Y: Successful laparoscopic treatment of an abdominal pregnancy in the broad ligament. Singapore Med J 2004;45:88–89.
72.
Strafford JC, Ragan WD: Abdominal pregnancy. Review of current management. Obstet Gynecol 1977;50:548–552.
73.
Thomas JS, Willie JO, Clark JFJ: Primary peritoneal pregnancy: a case report. J Natl Med Assoc 1991;83:645–647.
74.
Walton LA, Nikrui N: ‘Salting out’ an abdominal pregnancy. NY State J Med 1973;73:2782.
75.
Wiesenfeld HC, Guido RS: Intra-abdominal pregnancy after hysterectomy. N Engl J Med 2003;349:1534.
76.
Alexander MC, Horger EO 3rd: Early diagnosis of abdominal pregnancy by ultrasound. J Clin Ultrasound 1983;11:45–48.
77.
Ali CR, Fitzgerald C: Omental and peritoneal secondary trophoblastic implantation – an unusual complication after IVF. Reprod Biomed Online 2006;12:776–778.
78.
Bennun M, van der Meulen J: A case of simultaneous abdominal and tubal pregnancy. East Afr Med J 1974;51:557–559.
79.
Bergstrom R, Mueller G, Yankowitz J: A case illustrating the continued dilemmas in treating abdominal pregnancy and a potential explanation for the high rate of postsurgical febrile morbidity. Gynecol Obstet Invest 1998;46:268–270.
80.
Cobellis L, Stradella L, Messalli EM: Contribution to the choice of therapy in abdominal pregnancy. Panminerva Med 2000;42:159–161.
81.
Connor GF: Case of the month. Abdominal pregnancy. Crit Rev Comput Tomogr 2004;45:11–16.
82.
Dover RW, Powell MC: Management of a primary abdominal pregnancy. Am J Obstet Gynecol 1995;172:1603–1604.
83.
Levitt CA, Ingram JM: Abdominal pregnancy with complete ureteral obstruction: a case report. Am J Obstet Gynecol 1974;120:203–204.
84.
Meizner I, Glezerman M, Ben Harroch D, Leventhal H: Abdominal pregnancy following hysterectomy. Isr J Med Sci 1983;19:283–285.
85.
Nakamura Y, Muso A, Tokuyama O, Sumi T, Yamamasu S, Ishiko O, Ogita S: Primary abdominal pregnancy associated with severe ovarian hyperstimulation syndrome. Arch Gynecol Obstet 2001;265:233–235.
86.
Oehninger S, Kreiner D, Bass MJ, Rosenwaks Z: Abdominal pregnancy after in vitro fertilization and embryo transfer. Obstet Gynecol 1988;72:499–502.
87.
Qureshi RN, Chaudhuary N, Rizvi I, Afzal M: Feticide followed by successful removal of pregnancy products in early abdominal pregnancy. J Obstet Gynaecol (Tokyo 1995) 1995;21:13–16.
88.
Saracoglu FO, Goksin E, Durukan T: Abdominal pregnancy following gonadotropin treatment. Am J Obstet Gynecol 1985;153:804–805.
89.
Shumway JB, Greenspoon JS, Khouzami AN, Platt LD, Blakemore KJ: Amniotic fluid α-fetoprotein and maternal serum α-fetoprotein in abdominal pregnancies: correlation with extent and site of placental implantation and clinical implications. J Matern Fetal Med 1996;5:120–123.
90.
Stovall TG, Elkins TE: Twin abdominal pregnancy. A case report. J Reprod Med 1985;30:784–786.
91.
Strafford JC, Ragan WD: Abdominal pregnancy. Review of current management. Obstet Gynecol 1977;50:548–552.
92.
Tromans PM, Coulson R, Lobb MO, Abdulla U: Abdominal pregnancy associated with extremely elevated serum α-fetoprotein. Case report. Br J Obstet Gynaecol 1984;91:296–298.
93.
Acker D, Jenson AB, Tenn GK: Abdominal pregnancy with intrauterine device in situ. Obstet Gynecol 1973;42:36–39.
94.
Allen WL, Subba B, Yoong W, Fakokunde A: Chronic abdominal pregnancy following rupture from a bicornuate uterus. Arch Gynecol Obstet 2007;275:393–395.
95.
Behjati S, Bamfo JE, Bates AW, Veerareddy S: A near miss: lessons from a case of omental pregnancy. J Obstet Gynaecol 2009;29:559–560.
96.
Berghella V, Wolf SC: Does primary omental pregnancy exist? Gynecol Obstet Invest 1996;42:133–136.
97.
Chang CK, Leu FJ, Teng SW: Primary omental pregnancy treated by laparoscopic surgery. Int J Gynaecol Obstet 2003;80:325–326.
98.
Chopra S, Keepanasseril A, Suri V, Gupta N: Primary omental pregnancy: case report and review of literature. Arch Gynecol Obstet 2009;279:441–442.
99.
Chung MT, Lin YS, Wu MP, Huang KF: Laparoscopic surgery for omental pregnancy. J Am Assoc Gynecol Laparosc 2002;9:84–86.
100.
Da Silva BB, de Araujo EP, Cronemberger JN, dos Santos AR, Lopes-Costa PV: Primary twin omental pregnancy: report of a rare case and literature review. Fertil Steril 2008;90:2006.e13–5.
101.
Esin S, Yildirim H, Tanzer F: Laparoscopic management of a primary omental pregnancy after clomiphene induction. Fertil Steril 2009;92:392.e1–3.
102.
Friederich MA: Primary omental pregnancy. Two cases of primary peritoneal pregnancy. Obstet Gynecol 1968;31:104–109.
103.
Hong JH, Shin JH, Song KJ, Lee HJ, Kim IS, Lee JK, Saw HS: Laparoscopic management of primary omental pregnancy. J Minim Invasive Gynecol 2008;15:640–641.
104.
Hornemann A, Holl-Ulrich K, Finas D, Altgassen C, Diedrich K, Hornung D: Laparoscopic management of early primary omental pregnancy. Fertil Steril 2008;89:991.e9–e11.
105.
Karaer O, Ilkgül O, Oruç S: Primary omental pregnancy on the gastrocolic ligament. South Med J 2007;100:403–404.
106.
Khalil A, Aslam N, Haider H, Creighton SM: Laparoscopic management of a case of unexpected omental pregnancy. J Obstet Gynaecol 2006;26:475–476.
107.
Mousa HA, Thong J: Omental pregnancy in a woman taking the progestogen-only pill. Acta Obstet Gynecol Scand 2001;80:1139–1140.
108.
Onan MA, Turp AB, Saltik A, Akyurek N, Taskiran C, Himmetoglu O: Primary omental pregnancy: case report. Hum Reprod 2005;20:807–809.
109.
Ozdemir I, Demirci F, Yucel O, Alper M: Primary omental pregnancy presenting with hemorrhagic shock. A case report. Gynecol Obstet Invest 2003;55:116–118.
110.
Paternoster DM, Santarossa C: Primary abdominal pregnancy. A case report. Minerva Ginecol 1999;51:251–253.
111.
Shih CH: Primary abdominal pregnancy upon the omentum. Taiwan Yi Xue Hui Za Zhi 1969;68:453–457.
112.
Weekes LR: Ectopic pregnancy: current clinical trends, a 15-year study. J Natl Med Assoc 1981;73:823–833.
113.
Wong WC, Wong BP, Kun KY, Ng TK, Kwok SY, Lee CK: Primary omental ectopic pregnancy. J Obstet Gynaecol Res 2004;30:226–229.
114.
Yi KW, Yeo MK, Shin JH, Kim KA, Oh MJ, Lee JK, Hur JY, Saw HS: Laparoscopic management of early omental pregnancy detected by magnetic resonance imaging. J Minim Invasive Gynecol 2008;15:231–234.
115.
Yildizhan R, Kurdoglu M, Kolusari A, Erten R: Primary omental pregnancy. Saudi Med J 2008;29:606–609.
116.
Ben-Rafael Z, Dekel A, Lerner A, et al: Laparoscopic removal of an abdominal pregnancy adherent to the appendix after ovulation induction with human menopausal gonadotrophin. Hum Reprod 1995;10:1804–1805.
117.
Binder DS: Thirteen-week abdominal pregnancy after hysterectomy. J Emerg Med 2003;25:159–161.
118.
Fisch B, Powsner E, Heller L, Goldman GA, Tadir Y, Wolloch J, Ovadia J: Heterotopic abdominal pregnancy following in-vitro fertilization/embryo transfer presenting as massive lower gastrointestinal bleeding. Hum Reprod 1995;10:681–682.
119.
Ganeshselvi P, Cherian D, Champ S, Myerson N: Primary abdominal pregnancy implanted on the sigmoid colon. J Obstet Gynaecol 2003;23:667.
120.
Goldman GA, Dicker D, Ovadia J: Primary abdominal pregnancy: can artificial abortion, endometriosis and IUD be etiological factors? Eur J Obstet Gynecol Reprod Biol 1988;27:139–143.
121.
Goldstein AI, Walsh JW: Primary abdominal (peritoneal) pregnancy. J Okla State Med Assoc 1971;64:231–234.
122.
Graham MF: First trimester abdominal pregnancy. J Clin Ultrasound 1977;5:321–322.
123.
Mäkinen J: Histologically verified primary peritoneal pregnancy with implantation in the sigmoid mesenterium. Eur J Obstet Gynecol Reprod Biol 1986;22:171–174.
124.
Nama V, Gyampoh B, Karoshi M, McRae R, Opemuyi I: Secondary abdominal appendicular ectopic pregnancy. J Minim Invasive Gynecol 2007;14:516–517.
125.
Barbosa Júnior Ade A, de Freitas LA, Mota MA: Primary pregnancy in the liver. A case report. Pathol Res Pract 1991;187:329–333.
126.
Børlum KG, Blom R: Primary hepatic pregnancy. Int J Gynaecol Obstet 1988;27:427–429.
127.
Chui AK, Lo KW, Choi PC, Sung MC, Lau JW: Primary hepatic pregnancy. ANZ Surg 2001;71:260–261.
128.
Delabrousse E, Site O, Le Mouel A, Riethmuller D, Kastler B: Intrahepatic pregnancy: sonography and CT findings. AJR Am J Roentgenol 1999;173:1377–1378.
129.
Harris GJ, Al-Jurf AS, Yuh WT, Abu-Yousef MM: Intrahepatic pregnancy. A unique opportunity for evaluation with sonography, computed tomography, and magnetic resonance imaging. JAMA 1989;261:902–904.
130.
Hietala SO, Andersson M, Emdin SO: Ectopic pregnancy in the liver. Report of a case and angiographic findings. Acta Chir Scand 1983;149:633–635.
131.
Kirby NG: Primary hepatic pregnancy. Br Med J 1969;1:296.
132.
Krause DW: Hepatic tumor or hepatic pregnancy? AJR Am J Roentgenol 1979;133:355–356.
133.
Mitchell RW, Teare AJ: Primary hepatic pregnancy. A case report and review. S Afr Med J 1984;65:220.
134.
Nichols C, Koong D, Faulkner K, Thompson G: A hepatic ectopic pregnancy treated with direct methotrexate injection. Aust NZ J Obstet Gynaecol 1995;35:221–223.
135.
Paulino-Netto A, Roselli A: Hepatic ectopic pregnancy: successful surgical treatment of a patient with hepatic pregnancy and acute hemorrhage. Mt Sinai J Med 1986;53:514–517.
136.
Shippey SH, Bhoola SM, Royek AB, Long ME: Diagnosis and management of hepatic ectopic pregnancy. Obstet Gynecol 2007;109:544–546.
137.
Veress B, Wallmander T: Primary hepatic pregnancy. Acta Obstet Gynecol Scand 1987;66:563–564.
138.
Caruso V, Hall WH: Primary abdominal pregnancy in the spleen: a case report. Pathology 1984;16:93–94.
139.
Cormio G, Santamato S, Vimercati A, Selvaggi L: Primary splenic pregnancy. A case report. J Reprod Med 2003;48:479–481.
140.
Gang G, Yudong Y, Zhang G: Successful laparoscopic management of early splenic pregnancy: case report and review of literature. J Minim Invasive Gynecol 2010;17:794–797.
141.
Huber DE, Martin SD, Orlay G: A case report of splenic pregnancy. Aust NZ J Surg 1984;54:81–82.
142.
Kahn JA, Skjeldestad FE, Düring V, Sunde A, Molne K, Jørgensen OG: A spleen pregnancy. Acta Obstet Gynecol Scand 1989;68:83–84.
143.
Kalof AN, Fuller B, Harmon M: Splenic pregnancy: a case report and review of the literature. Arch Pathol Lab Med 2004;128:e146–e148.
144.
Kitade M, Takeuchi H, Kikuchi I, Shimanuki H, Kumakiri J, Kinoshita K: A case of simultaneous tubal-splenic pregnancy after assisted reproductive technology. Fertil Steril 2005;83:1042.
145.
Larkin JK, Garcia DM, Paulson EL, Powers DW: Primary splenic pregnancy with intraperitoneal bleeding and shock: a case report. Iowa Med 1988;78:529–530.
146.
Mankodi RC, Sankari K, Bhatt SM: Primary splenic pregnancy. Case report. Br J Obstet Gynaecol 1977;84:634–635.
147.
Reddy KS, Modgill VK: Intraperitoneal bleeding due to primary splenic pregnancy. Br J Surg 1983;70:564.
148.
Tantachamroon T, Songkrobhan S, Tuppasut NK: Primary splenic pregnancy. J Med Assoc Thai 1986;69:495–499.
149.
Yackel DB, Panton ON, Martin DJ, Lee D: Splenic pregnancy – case report. Obstet Gynecol 1988;71:471–473.
150.
Yagil Y, Beck-Razi N, Amit A, Kerner H, Gaitini D: Splenic pregnancy: the role of abdominal imaging. J Ultrasound Med 2007;26:1629–1632.
151.
Bae SU, Kim CN, Kim KH, Hwang IT, Choi YJ, Lee MK, Cho BS, Kang YJ, Park JS: Laparoscopic treatment of early retroperitoneal abdominal pregnancy implanted on inferior vena cava. Surg Laparosc Endosc Percutan Tech 2009;19:e156–e158.
152.
Chang YL, Ko PC, Yen CF: Retroperitoneal abdominal pregnancy at left paracolic sulcus. J Minim Invasive Gynecol 2008;15:660–661.
153.
Dmowski WP, Rana N, Ding J, Wu WT: Retroperitoneal subpancreatic ectopic pregnancy following in vitro fertilization in a patient with previous bilateral salpingectomy: how did it get there? J Assist Reprod Genet 2002;19:90–93.
154.
Ferland RJ, Chadwick DA, O’Brien JA, Granai CO 3rd: An ectopic pregnancy in the upper retroperitoneum following in vitro fertilization and embryo transfer. Obstet Gynecol 1991;78:544–546.
155.
Hall JS, Harris M, Levy RC, Walrond ER: Retroperitoneal ectopic pregnancy. J Obstet Gynaecol Br Commonw 1973;80:92–94.
156.
Iwama H, Tsutsumi S, Igarashi H, Takahashi K, Nakahara K, Kurachi H: A case of retroperitoneal ectopic pregnancy following IVF-ET in a patient with previous bilateral salpingectomy. Am J Perinatol 2008;25:33–36.
157.
Lee JW, Sohn KM, Jung HS: Retroperitoneal ectopic pregnancy. AJR Am J Roentgenol 2005;184:1600–1601.
158.
Mitra AG, LeQuire MH: Minimally invasive management of 14.5-week abdominal pregnancy without laparotomy: a novel approach using percutaneous sonographically guided feticide and systemic methotrexate. J Ultrasound Med 2003;22:709–714.
159.
Reid F, Steel M: An exceptionally rare ectopic pregnancy. BJOG 2003;110:222–223.
160.
Sotus PC: Retroperitoneal ectopic pregnancy: a case report. JAMA 1977;238:1363–1364.
161.
Akhan O, Cekirge S, Senaati S, Besim A: Sonographic diagnosis of an abdominal ectopic pregnancy. AJR Am J Roentgenol 1990;155:197–198.
162.
Attapattu JA, Menon S: Abdominal pregnancy. Int J Gynaecol Obstet 1993;43:51–55.
163.
Dennert IM, van Dongen H, Jansen FW: Ectopic pregnancy: a heart beating case. J Minim Invasive Gynecol 2008;15:377–379.
164.
Norenberg DD, Gundersen JH, Janis JF, Gundersen AL: Early pregnancy on the diaphragm with endometriosis. Obstet Gynecol 1977;49:620–622.
165.
Ombelet W, van der Merwe JV: Combined extra- and intrauterine pregnancies. A report of 3 cases. S Afr Med J 1986;70:559–560.
166.
Zaki ZM: An unusual presentation of ectopic pregnancy. Ultrasound Obstet Gynecol 1998;11:456–458.
167.
Bombard AT, Nakagawa S, Runowicz CD, Cohen BL, Mikhail MS, Nitowsky HM: Early detection of abdominal pregnancy by maternal serum AFP+ screening. Prenat Diagn 1994;14:1155–1157.
168.
Cavanagh D: Primary peritoneal pregnancy. Am J Obstet Gynecol 1958;76:523–532.
169.
Hreshchyshyn M, Bogen B, Loughran C: What is the actual present-day management of the placenta in late abdominal pregnancies? Am J Obstet Gynecol 1961;81:302–317.
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2012
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