Ewha Med J.  2015 Oct;38(3):126-128. 10.12771/emj.2015.38.3.126.

Ectopic Pregnancy Implanted on Uterine Myoma

• Kim MK
• Park HS
• Lee MH
• Kim SH
• Shin JH

• KMID: 2171350
• DOI: http://doi.org/10.12771/emj.2015.38.3.126

Abstract

Ectopic pregnancy is an implantation of the fertilized ovum outside the uterine cavity. Most of ectopic pregnancies are located within the fallopian tube. We describe a rare case of 34-year-old woman complaining of lower abdominal pain and positive urinary pregnancy test. Pelvic ultrasound exam suggested tubal pregnancy with hemoperitoneum. However, pelviscopy revealed the bleeding point was subserosal myoma located just next to the right ovary. Uterus and both fallopian tubes were grossly free. Laparoscopic myomectomy with ectopic mass excision was performed and we observed the serial decrease of beta-hCG level. Patient was well recovered and postoperative finding was not remarkable. Hereby, we report a rare case of ectopic pregnancy on uterine myoma with subserosal type with a brief review of literatures.

Keyword

Ectopic pregnancy; Myoma; Ovarian neoplasm; Myomectomy; Laparoscopy

MeSH Terms

Abdominal Pain
Adult
Fallopian Tubes
Female
Hemoperitoneum
Hemorrhage
Humans
Laparoscopy
Leiomyoma*
Myoma
Ovarian Neoplasms
Ovary
Pregnancy
Pregnancy Tests
Pregnancy, Ectopic*
Pregnancy, Tubal
Ultrasonography
Uterus
Zygote

Figure

• 

  Fig. 1 Vaginal sonography. It reveals empty endometrium in uterus with 1.05 cm sized G-sac like shadow around the right ovary is observed.

• 

  Fig. 2 Laparoscopic findings. It shows ectopic pregnancy on subserosal uterine myoma (A), normal ovary and tube (B) (black arrow, myoma; white arrow, ruptured G-sac; shot white arrow, ovary).

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