Korean J Obstet Gynecol.  2006 Oct;49(10):2219-2223.

A case of abdominal pregnancy confirmed by laparoscopy

• Ahn MJ
• Kim KJ
• Hur SE
• Jang BW
• Lee SK
• Han HJ
• Kil KH
• Nam AN

Abstract

Approximately 1% of ectopic pregnancies are abdominal pregnancies and these may cause life-threatening bleeding and complications. Because of it's high maternal mortality and morbidity, early diagnosis and prompt decision making is important. But the clinical manifestation and physical examination is not specific, so early diagnosis and management is difficult. Presented here is a case of primary abdominal pregnancy. A 31-year-old woman presented with lower abdominal pain at 8 weeks of gestation. Diagnostic transvaginal ultrasound revealed large amount of peritoneal fluid, no intrauterine sac, and mass on left adnexa. Laparoscopy was performed and abdominal pregnancy on the rectal serosa was confirmed. We experienced a case of abdominal pregnancy which treated with laparoscopy without complications and present it with a review of the literature.

Keyword

Ectopic pregnancy; Primary abdominal pregnancy; Laparoscopy

MeSH Terms

Abdominal Pain
Adult
Ascitic Fluid
Decision Making
Early Diagnosis
Female
Hemorrhage
Humans
Laparoscopy*
Maternal Mortality
Physical Examination
Pregnancy
Pregnancy, Abdominal*
Pregnancy, Ectopic
Serous Membrane
Ultrasonography