Pregnancy in Morrison Pouch: a case report

TL;DR

This case report describes a rare abdominal pregnancy in the Morrison Pouch that led to severe complications and maternal death.

Contribution

The novelty lies in highlighting the specific risks and complications of abdominal pregnancy located in the Morrison Pouch.

Findings

Abdominal pregnancy in the Morrison Pouch can present with right upper quadrant pain and mass.

Severe anemia and hemorrhagic shock are life-threatening complications of such pregnancies.

Abstract

Abdominal pregnancy is a rare form of ectopic pregnancy (accounting for 1% of all ectopic pregnancies). Depending on gestational age and its location various symptoms and signs may be exhibited. This study aimed to report a case of abdominal pregnancy occurring in the Morrison Pouch with a primary presentation of right upper quadrant pain and to highlight complications that may arise in the management of abdominal pregnancy located in the Morrison Pouch. A 22-year pregnant woman at gestation of 22 weeks presented with a right upper quadrant mass and pain. Ultrasound examination revealed a live extrauterine singleton at Morrison Pouch, full blood count showed severe anemia. The patient received a blood transfusion in seven days and underwent emergency laparotomy after experiencing sudden acute internal hemorrhage but died a few hours post laparotomy due to hemorrhagic shock. Abdominal pregnancy carries a high risk of maternal hemorrhage as described in this case.

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