Research Article

Advanced Abdominal Pregnancy (AAP) after 20 Weeks of Gestation in Japan: A Retrospective Review

Table 1

Clinical characteristics of 10 cases of abdominal pregnancy after 20 weeks of gestation reported in Japan.

CaseAuthorsAge (years), gravity, parityWeeks at diagnosis, findingsPreoperative diagnostic modalityNumber of former medical institutions before birthPreoperative diagnosisGestational weeks, sex, birth weight, neonatal outcomeNeonatal abnormalitiesInitial operationSecond-look operation

1Kuroda, Aragane, Miyoshi et al. [5]34, 0G0P37 weeks, intraoperative findingsNot diagnosed1Bicornuate uterus37 weeks, female, 2504 g, aliveContracture of the right ankle, skull deformityExtraction of the fetus, extraction of the placenta simultaneously, left salpingo-oophorectomy, blood transfusionNo
2Watanabe, Yoshinaga, Takami et al. [68]29, 0G0P37 weeks before the operationMRI, USMore than 1Abdominal pregnancy39 weeks, female, 1978 g, aliveTorticollisExtraction of the fetus, no blood transfusionSecond-look placental resection at 59 days postoperatively
3Watanabe, Yoshinaga et al. [6, 7]39, 5G1P33 weeks, intraoperative findings, transferred soonNot diagnosedMore than 1Not described33 weeks, male, 1826 g, aliveClubfootExtraction of the fetusSecond-look placental resection at 84 days postoperatively
4Watanabe et al. [6]22, 1G0P25 weeks, before operationMRI, USMore than 2Abdominal pregnancy33 weeks, female, 1765 g, aliveClubfootExtraction of the fetusSecond-look placental resection at 102 days postoperatively
5Kajimura et al. [9]25, 0G0P38 weeks, after IUFD was diagnosed by USUS, insertion of a balloon catheter in the uterine cavitymore than 2Abdominal pregnancy38 weeks, female, 1929 g, IUFDGrade 1 maceration (epidermis)Extraction of the fetus, marsupialization, no blood transfusionSecond-look placental resection at 17 days postoperatively combined with left salpingectomy and partial resection of the uterus
6Tamura et al. [10]37, 0G0P40 weeks, intraoperative findings, transferred soonNot diagnosedMore than 1Breech presentation40 weeks, female, 3300 g, aliveNoneExtraction of the fetus, extraction of the placenta simultaneously, left salpingo-oophorectomy, drainage, blood transfusionNo
7Sekiguchi et al. [11]36, 0G0P20 weeks, during the operationNot diagnosedTuberculous peritonitis, pregnancy not allowed, first visit at 20 weeksNot described20 weeks, male, 80 g, abortion due to tuberculosisNot describedExtraction of fetus, extraction of the placenta simultaneously, no blood transfusionNo
8Tozawa, Hamada et al. [12, 13]34, 1G0P38 weeks, intraoperative findingsNot diagnosedNot describedTotal placenta previa38 weeks, female, 2850 g, aliveOccipital protrusion, small mandible, short neck, webbed neck, and mild contracture of the elbow joint and hip jointExtraction of the fetus, extraction of the placenta simultaneously, supravginal amputation of the uterus, blood transfusionNo
9Yonei, Tachibana et al. [14]46, not described21 weeks, during the operationNot diagnosedNot describedUterine cervical fibroids, placenta previa21 weeks, sex and weight not described, artificial abortionNot describedEvacuation of pregnancy and abdominal total hysterectomy were scheduled. Extraction of the fetus, gauze tamponade in the pelvic cavity, abdominal closure, blood transfusionSecond-look gauze extraction at 3 days postoperatively and third-look placental resection at 1 year postoperatively with hysterectomy
10Takeda et al. [15]25, 0G0P42 weeks, intraoperative findingsNot diagnosedMore than 1Placenta previa42 weeks, female, 3520 g, aliveLeft torticollisExtraction of the fetus, extraction of the placenta simultaneously, left adnectomy, blood transfusionNo