{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T01:09:29Z","timestamp":1780708169374,"version":"3.54.1"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,8,23]]},"abstract":"<jats:p>Second trimester abdominal ectopic pregnancies are rare and life threatening. Early diagnosis and treatment are paramount in reducing maternal morbidity and mortality. We describe an unusually late diagnosis of abdominal pregnancy despite multiple ultrasounds beginning in early pregnancy. A 28-year-old G2P1001 sought pregnancy termination at 22 weeks\u2019 gestation after fetal anomalies were noted on an 18-week ultrasound during evaluation for elevated maternal serum alfa-fetoprotein. Due to abortion restrictions in her home state, she travelled over 500 miles for abortion care. During dilation and evacuation, suspected uterine perforation led to the finding of a previously undiagnosed abdominal pregnancy. At laparotomy, she underwent left salpingo-oophorectomy and removal of abdominal pregnancy and placenta. A multidisciplinary team approach was paramount in optimising the patient\u2019s outcome. Abortion restrictions requiring travel away from the patient\u2019s home community interrupted her continuity of care and created additional hardships, complicating management of an unexpected, rare and life-threatening condition.<\/jats:p>","DOI":"10.1136\/bcr-2017-221433","type":"journal-article","created":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T12:55:12Z","timestamp":1504270512000},"page":"bcr-2017-221433","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Delayed diagnosis and management of second trimester abdominal pregnancy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Katherine","family":"Tucker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha Rani","family":"Bhardwaj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Clark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve","family":"Espey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,9,1]]},"reference":[{"issue":"3 Pt 1","key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.1","first-page":"333","article-title":"Abdominal pregnancy in the United States: frequency and maternal mortality","volume":"69","author":"Atrash","year":"1987","journal-title":"Obstet Gynecol"},{"key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.2","doi-asserted-by":"publisher","DOI":"10.1159\/000342997"},{"key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.3","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s00404-016-4069-y","article-title":"Non-tubal ectopic pregnancy","volume":"294","author":"Parker","year":"2016","journal-title":"Arch Gynecol Obstet"},{"key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.4","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/S0002-9378(42)90488-5","article-title":"Primary peritoneal pregnancy","volume":"44","author":"Studdiford","year":"1942","journal-title":"Am J Obstet Gynecol"},{"key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.5","doi-asserted-by":"crossref","first-page":"297.e1","DOI":"10.1016\/j.ajog.2007.09.044","article-title":"Advanced extrauterine pregnancy: diagnostic and therapeutic challenges","volume":"198","author":"Worley","year":"2008","journal-title":"Am J Obstet Gynecol"},{"key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.6","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1186\/1752-1947-5-531","article-title":"Full-term extrauterine abdominal pregnancy: a case report","volume":"5","author":"Dahab","year":"2011","journal-title":"J Med Case Rep"},{"key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.7","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000291561.48203.27"},{"key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.8","unstructured":"State policies on later abortions. Guttmacher Institute. https:\/\/www.guttmacher.org\/state-policy\/explore\/state-policies-later-abortions"},{"key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.9","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1097\/AOG.0000000000001996","article-title":"Implications of Ohio's 20-week abortion ban on prenatal patients and the assessment of fetal anomalies","volume":"129","author":"Farrell","year":"2017","journal-title":"Obstet Gynecol"},{"key":"2025042712360170000_2017.sep01_1.bcr-2017-221433.10","unstructured":"Ryan Residency Training Program. Bixby Center for Global Reproductive Health. UCSF. http:\/\/www.ryanprogram.org\/about-ryan-program"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221433","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T19:36:08Z","timestamp":1745782568000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221433"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,1]]},"references-count":10,"alternative-id":["10.1136\/bcr-2017-221433"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221433","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,1]]}}}