title: Conservative management of an advanced abdominal pregnancy at 22 weeks.
abstract: Objective We report an uneventful conservative approach of an advanced abdominal pregnancy discovered at 22 weeks of gestation. Study Design This study is a case report. Results Attempting to extend gestation of an advanced abdominal pregnancy is not a common strategy and is widely questioned. According to the couple's request, the management consisted in continuous hospitalization, regular ultrasound scan, and antenatal corticosteroids. While the woman remained asymptomatic, surgery was planned at 32 weeks, leading to the birth of a preterm child without any long-term complications. Placenta was left in situ with a prophylactic embolization, and its resorption was monitored. Conclusion Depending on multidisciplinary cares and agreement of the parents, when late discovered, prolonging advanced abdominal pregnancy appears to be a reasonable option.
authors.affiliation: Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France ; DHU Risques et Grossesse, Université Paris Descartes, Paris, France.
authors.forename: Louis
authors.initials: L
authors.lastname: Marcellin
authors.affiliation: Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France ; DHU Risques et Grossesse, Université Paris Descartes, Paris, France.
authors.forename: Sophie
authors.initials: S
authors.lastname: Ménard
authors.affiliation: Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France.
authors.forename: Marie-Charlotte
authors.initials: MC
authors.lastname: Lamau
authors.affiliation: Université Paris Descartes, Assistance Publique-Hôpitaux de Paris, Paris, France ; Department of Anaesthesia and Critical Care Paris, Cochin University Hospital, Paris, France.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Mignon
authors.affiliation: DHU Risques et Grossesse, Université Paris Descartes, Paris, France ; Service de Médecine et Réanimation néonatales de Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France.
authors.forename: Marie Stephanie
authors.initials: MS
authors.lastname: Aubelle
authors.affiliation: Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France ; DHU Risques et Grossesse, Université Paris Descartes, Paris, France.
authors.forename: Gilles
authors.initials: G
authors.lastname: Grangé
authors.affiliation: Maternité Port-Royal, Groupe hospitalier Cochin, Broca, Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France ; DHU Risques et Grossesse, Université Paris Descartes, Paris, France.
authors.forename: François
authors.initials: F
authors.lastname: Goffinet
keywords: advanced abdominal pregnancy; placental embolization; preterm delivery