2019 AMI Online Salon

Abdominal Pregnancy: A Case Report

Project Details

  • Company/Institution: Ferrante Medical Media
  • Entrant Name: Virginia Ferrante-Iqbal
  • Membership Type: Professional Submission      
  • Address: Chicago, IL
  • Client: Angela Rugino, MD, Iman Alsaden, MD, and Kathy Jones, MD, Univ. of Chicago Medical Center, Obstetrics and Gynecology
  • Medium/software used: Adobe Illustrator and Adobe Photoshop
  • Final presentation format: Journal Article- Journal of Reproductive Medicine
  • Primary Audience: Obstetricians

Project Description

Abdominal pregnancies are rare and often life threatening for mother and fetus. This illustration was commissioned at the request of the Journal of Reproductive Medicine (JRM). JRM approved this historic and exceedingly rare case for publication but found the ultrasounds and text not clear enough. JRM requested a medical illustrator clarify the confusing anatomy. Specifically, to depict:

  1. the surgical view after the fetus had been removed, by emergency cesarean section.
  2. the location of the implantation of the placenta on the external fundus of the uterus.
  3. the gestational sac location and adhesions to the bowel.
  4. the location of the disconnected proximal fallopian tube, torn away by this initially ectopic pregnancy.

This case is historic because both the 31-year-old mother and 25-week-old fetus survived. This abdominal pregnancy was misdiagnosed as normal, by prenatal clinicians, until the mother entered the ER at 25 weeks with abdominal pain.