The Used of Magnetic Resonance Imaging in Managing Intra-Abdominal Pregnancy: A Case Report

Abstract

Most women will experience a normal pregnancy process. However, there are some complications that may occur during the pregnancy. Pregnancy outside of the uterus is also known as intra-abdominal pregnancy. Intra-abdominal pregnancy is among the complications during pregnancy that are commonly reported besides abortion, Pregnancy Induced Hypertension (PIH) and Gestational Diabetes Mellitus (GDM). These complications are believed to be the main cause of the increase in maternal and perinatal death rate. Therefore, the used of appropriate diagnostic imaging in management of obstetric cases should be focused. Thus this case study is intended to evaluate the used of Magnetic Resonance Imaging (MRI) in managing intra-abdominal pregnancy. The study focused on one case of abdominal pregnancy which continued into the second trimester. A 30-year-old woman, G2 P0+1 at 12-13 weeks’ gestation presented to public hospital complaining of recurrence epigastric pain with no history of vaginal bleeding. An MRI was performed and the mother was identified as having an intra-abdominal pregnancy. Urgent laparotomy done. Intraoperative noted heamoperitoneum with active bleed seen from the placenta that adhere to the omentum. Partial omentectomy was done. The fetus about 14 week’s gestation are seen and removed. Case studies have proven that the option to perform an MRI on a suspected intra-abdominal pregnancy can help provide information to establish an accurate diagnosis and appropriate patient care management. Therefore, the use of MRI is highly recommended for all cases that are expected to experience intra-abdominal pregnancy as to save the patient and as well as to avoid obstetric complications.