A case of abdominal pregnancy implanted on uterosacral ligament.
- Author:
Ji Young KWON
1
;
Woo Mi SHIN
;
Jong Sook YOON
;
Seong Jin HWANG
;
In Yang PARK
;
Ki Ouk MIN
;
Chan Joo KIM
;
Chang Yi KIM
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Catholic University of Korea. ooooobbbbb@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Abdominal pregnancy;
Hemoperitoneum;
Diagnostic laparoscopy
- MeSH:
Abdominal Pain;
Chorionic Villi;
Curettage;
Delayed Diagnosis;
Diagnosis;
Emergency Service, Hospital;
Female;
Hemoperitoneum;
Hemorrhage;
Humans;
Ligaments*;
Pregnancy;
Pregnancy, Abdominal*;
Pregnancy, Ectopic;
Rare Diseases;
Ultrasonics;
Young Adult
- From:Korean Journal of Obstetrics and Gynecology
2007;50(7):1027-1032
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Abdominal pregnancy, a rare type of ectopic pregnancy is difficult to be suspected at its first presentation. The diagnosis of this rare disease may often be delayed, since early symptoms are usually non-specific. In some cases, delayed diagnosis of abdominal preganacy can be associated with catastrophic hemorrhage secondary to placental separation. A 24-year old woman visited our emergency unit, presenting with a sudden-onset low abdominal pain. She had undergone uterine curettage 3 weeks before. Transvaginal sonogram of the cul-de-sac revealed complex fluid consistent with blood. On diagnostic laparoscopic operation, we found a ruptured cystic, conception-like structure near the right uterosacral ligament. Histology of the resected structure finally showed chorionic villi consistent with abdominal pregnancy. In this report, we present an unusual case of abdominal pregnancy. This case underscores the careful ultrasonic determination of gestational location at early pregnancy.
