This report describes a term gestation abdominal pregnancy resulting in meconium aspiration syndrome (MAS) complicated by pulmonary hypertension. These cases occur infrequently. In this instance, extracorporeal membrane oxygenation (ECMO) was successfully utilized to support the infant after conventional neonatal medical support failed to yield sufficient oxygenation.
Get full access to this article
View all access options for this article.
References
1.
Beecham WD, Hernquist WC, Beachman DW, et al. Abdominal pregnancy at Charity Hospital in New Orleans. Am J Obstet Gynecol1962;84:1257-70.
2.
Stafford JC, Ragan WDAbdominal pregnancy—review of current management. Obstet Gynecol1977;50:548-52.
3.
Kirkpatrick BV, Krummel TM, Mueller DG, et al. Use of extracorporeal membrane oxygenation for respiratory failure in term infants. Pediatr1983;72:872-6.
4.
Bartlett RH, Andrews A., Toomasian JM, et al. Extracorporeal membrane oxygenation for newborn respiratory failure: forty-five cases. Surgery1982;92:425-33.
5.
Bartlett RH, Roloff DW, Cornell RG, et al. Extracorporeal circulation in neonatal respiratory failure: a prospective randomized study. Pediatr1985 ;76:479-87.
6.
Beck RB, Anderson K., Miller M., et al. Criteria for extracorporeal membrane oxygenation (ECMO) in a population of infants with persistent pulmonary hypertension of the newborn (PPHN). J Pediatr Surg1986;21:297-302.
7.
Ali V., Saldana LR, Balat IYPitfalls in sonographic diagnosis of abdominal pregnancy. South Med J1981;74:477-9.
8.
Tau KL, Goon SM, Wee JHThe pediatric aspects of advanced abdominal pregnancy. J Obstet Gynaecol BrComm1969;76:1021-8.
9.
Krummel TM, Greenfield LJ, Kirkpatarick BV, et al. Extracorporeal membrane oxygenation in neonatal pulmonary failure . Pediatr Ann1982;11:905-8.
10.
Bartlett RHRespiratory support: ECMO in newborn respiratory failure, in Welch K, Rovitch M, Randolph J et al. (eds): Pediatric Surgery , 4th ed. Chicago, Yearbook Medical Publishers, 1985:74-7.
