J Korean Med Sci.  2000 Jun;15(3):359-362. 10.3346/jkms.2000.15.3.359.

Primary peritoneal pregnancy implanted on the uterosacral ligament: a case report

• Shin JS
• Moon YJ
• Kim SR
• Kim KT
• Moon H
• Hwang YY

• KMID: 1128639
• DOI: http://doi.org/10.3346/jkms.2000.15.3.359

Abstract

Peritoneal pregnancies are classified as primary and secondary. Primary implantation on the peritoneum is extremely rare in extrauterine pregnancy and is a potentially life-threatening variation of ectopic pregnancy within the peritoneal cavity, representing a grave risk to maternal health. Secondary abdominal pregnancies are by far the most common and result from tubal abortion or rupture, or less often, after uterine rupture with subsequent implantation within abdomen. Early diagnosis and appropriate surgical management, regardless of stage of gestation, appear to be important in achieving good results. We report a case of primary peritoneal pregnancy in a 28-year-old woman, who had severe lower abdominal pain one day before laparotomy for a preoperative diagnosis of ectopic pregnancy. The conceptus was implanted on the left uterosacral ligament. A fresh embryo of approximately 8 weeks' gestation was found in the conceptus.

Keyword

Pregnancy; Abdominal

MeSH Terms

Adult
Case Report
Female
Follow-Up Studies
Hemoperitoneum/surgery
Hemoperitoneum/diagnosis
Hemoperitoneum/complications*
Human
Ligaments
Ovum Implantation
Peritoneum/pathology
Pregnancy
Pregnancy, Abdominal/surgery
Pregnancy, Abdominal/pathology
Pregnancy, Abdominal/diagnosis
Pregnancy, Abdominal/complications*
Rupture, Spontaneous/surgery
Rupture, Spontaneous/diagnosis
Sacrum
Uterus/pathology