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CASE REPORT
Role of serial MRI assessment in the management of an abdominal pregnancy
  1. Shyann Renfroe1,
  2. Nafisa K Dajani2,
  3. Tarun Pandey3,
  4. Everett F Magann2
  1. 1Univeristy of Arkansas for Medical Sciences, Hensley, Arkansas, USA
  2. 2Departments of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
  3. 3Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
  1. Correspondence to Dr Nafisa K Dajani, dajaninafisak{at}uams.edu

Summary

A 33-year-old woman was admitted to the hospital with an abdominal pregnancy at a gestational age of 20 weeks. An initial MRI mapping of fetal location and placental vascular invasion was obtained. The patient refused surgical intervention until fetal survival would be possible. Serial MRIs were essential in timing delivery and avoiding an emergency surgical situation. The baby was delivered at 24 weeks with the assistance of a multidisciplinary surgical team. The mother as well as the baby survived. This case report highlights the role of serial MRI evaluations in the diagnosis and expectant management of an abdominal pregnancy. It also highlights the importance of interdisciplinary communication for a successful outcome.

https://doi.org/10.1136/bcr-2013-200495

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