Evidence map›Paper›PMID 42577548›Full record

ArticleCase reports in perinatal medicine2026

Advanced primary abdominal pregnancy with a live birth: a case report.

Mourad Elfaham, Ahmed Zeinhom, Mohamed Arafa, Mohamed Essam-Eldin, Ahmed Yaseen, Menatallah Abdelhamid, Nermin Mohamed, Mayar Osama, Romany Alfy, Rahma AbdelHafez and 11 more

Abstract read
In one paragraph

Article in Case reports in perinatal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Mourad ElfahamDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ahmed ZeinhomDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamed ArafaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamed Essam-EldinDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ahmed YaseenDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Menatallah AbdelhamidDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-1568-9619
Nermin MohamedDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mayar OsamaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID https://orcid.org/0009-0006-2338-4125
Romany AlfyDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID https://orcid.org/0009-0007-4094-5913
Rahma AbdelHafezDepartment of Obstetrics and Gynecology, Faculty of Medicine, Galala University, Suez, Egypt.ORCID https://orcid.org/0009-0009-2662-9863
Sara AbdelkaderDepartment of Obstetrics and Gynecology, Faculty of Medicine, Galala University, Suez, Egypt.ORCID https://orcid.org/0009-0002-5877-4722
Mohammed GhanemDepartment of Obstetrics and Gynecology, Faculty of Medicine, Galala University, Suez, Egypt.ORCID https://orcid.org/0009-0009-9485-2418
Sally AboeleninDepartment of Obstetrics and Gynecology, Faculty of Medicine, Galala University, Suez, Egypt.ORCID https://orcid.org/0009-0001-6686-8019
Mahmoud AminDepartment of Urology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID https://orcid.org/0009-0007-1629-6394
Ahmed AbdelkaderDepartment of Anesthesia, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Amal OthmanDepartment of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Omnia SeyamDepartment of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Khaled EldiebDepartment of Vascular Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Eman RashadDepartment of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Karam BayoumyDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID https://orcid.org/0009-0009-1157-3086
Ashraf NabhanDepartment of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-4572-2210

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Advanced primary abdominal pregnancy, an extremely rare condition, poses diagnostic challenges and carries a risk of serious maternal and perinatal complications. In the absence of evidence-based protocols, current management approaches are predominantly guided by anecdotal reports and individual clinical judgment. We report a case of primary advanced abdominal pregnancy in a primigravida. Case presentation: A 26-year-old asymptomatic woman at 31 + 6/7 weeks' gestation was referred for routine third-trimester ultrasonography, which revealed a non-gravid uterus, a viable extrauterine fetus, oligohydramnios, and placental invasion of the right pelvic wall. Magnetic resonance imaging confirmed these findings and demonstrated placental compression of the right ureter with moderate hydroureteronephrosis. A multidisciplinary team was assembled. At 32 + 6/7 weeks, cystoscopic-guided ureteric stenting followed by midline laparotomy resulted in the delivery of a live female neonate. Due to extensive placental vascularity and critical attachments, the placenta was left Conclusions: Even when facing a rare, challenging condition, favorable maternal and neonatal outcomes can be achieved through accurate pre-operative diagnosis, early involvement of a multidisciplinary team, thoughtful intra-operative decision-making, and meticulous post-operative care.

Indexed as

advanced abdominal pregnancycase reportliterature reviewlive birth

Identifiers

PMID42577548
PMCPMC13454813

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.