1.A case of ruptured omental pregnancy.
Jeong Hwan RHEE ; Yoon Young JO ; Chool Hyun CHO ; Tae Hyo IN ; Heang Ji KANG
Korean Journal of Obstetrics and Gynecology 2006;49(1):241-246
Abdominal pregnancy is a rare form of ectopic pregnancy, which has been classified as early and advanced abdominal pregnancies. In case of early abdominal pregnancy, we may miss the diagnosis because the symptoms and clinical characteristics are non-specific. However, recently, the early diagnosis is made because of the development of quantitative beta-hCG measurement, transvaginal ultrasonography and the development of laparoscopy. Omental pregnancy is a very rare form of abdominal pregnancy, which is hard to detect early. When ruptured, it accompanies with massive hemorrhage. So, early diagnosis and treatment is essential to prevent high morbidity, mortality and serious complications. Definite diagnosis is made by cytopathologic examination of tissue specimen after surgery. We have experienced a case of ruptured early omental pregnancy and reviewed it briefly.
Diagnosis
;
Early Diagnosis
;
Female
;
Hemorrhage
;
Laparoscopy
;
Mortality
;
Pregnancy*
;
Pregnancy, Abdominal
;
Pregnancy, Ectopic
;
Ultrasonography
2.A case of primary ovarian pregnancy.
In Seok HER ; Jung Hwan RHEE ; Chool Hyun CHO ; Jin KIM ; Heang Ji KANG
Korean Journal of Obstetrics and Gynecology 2005;48(2):495-499
Ovarian pregnancy is comparatively rare form of ectopic pregnancy. Although earlier diagnosis is now possible due to the availability of quantitative beta-hCG measurement and the development of transvaginal ultrasonograghy, it is mostly difficult to diagnosis before surgery, and frequently misdiagnosed as a ruptured corpus luteum accompanied with massive hemoperitoneum. Definite diagnosis is made only by cytopathologic examination of tissue specimen. The treatment of ovarian pregnancy has been operative management including oophorectomy, salpingo-oophorectomy and ovarian wedge resection. But recently conservative management using laparoscopic technique has become the preferred treatment. We have experienced a case of primary ovarian pregnancy and reviewed it briefly.
Corpus Luteum
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Diagnosis
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Female
;
Hemoperitoneum
;
Ovariectomy
;
Pregnancy
;
Pregnancy, Ectopic*