Primary peritoneal pregnancy implanted on the uterosacral ligament: a case report.
10.3346/jkms.2000.15.3.359
- Author:
Joong Sik SHIN
1
;
Young Jin MOON
;
Seung Ryong KIM
;
Kyung Tai KIM
;
Hyung MOON
;
Youn Yeung HWANG
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea. jenny@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Pregnancy;
Abdominal
- MeSH:
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
- From:Journal of Korean Medical Science
2000;15(3):359-362
- CountryRepublic of Korea
- Language:English
-
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.
