Abdominal pregnancy in the sac of lesser omentum after in vitro fertilization and embryo transfer: a case report
10.3760/cma.j.cn101441-20220517-00215
- VernacularTitle:体外受精-胚胎移植术后小网膜囊腹腔妊娠1例报道
- Author:
Jinghui JIA
1
;
Bing CHEN
;
Mengnan YU
;
Hongfang WANG
;
Ying TONG
;
Ying SHI
Author Information
1. 空军特色医学中心妇产与生殖医学科，北京 100142
- Publication Type:Journal Article
- Keywords:
Fertilization in vitro;
Embryo transfer;
Sac of lesser omentum;
Abdominal pregnancy;
Early diagnosis;
Laparoscopic surgery
- From:
Chinese Journal of Reproduction and Contraception
2023;43(4):404-406
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical experience in the diagnosis and treatment of abdominal pregnancy in the sac of lesser omentum after in vitro fertilization and embryo transfer (IVF-ET). Methods:A case of abdominal pregnancy in the sac of lesser omentum after IVF-ET was reported in detail and summarized, and its clinical characteristics were analyzed.Results:After two blastocysts were transplanted 23 d, the patient had a sudden left upper abdominal pain. Ultrasound showed no pregnancy sac in utero, left epigastric dysplasia echo, and a small amount of fluid in the abdominal cavity. Puncture of the posterior vaginal fornix was nonclotting, and there was a clear indication of laparoscopic exploration. After cleaning up the blood in the pelvic and abdominal, the gestational tissue of lesser omentum sac was cleared. The patient recovered well after surgery.Conclusion:Abdominal pregnancy in the sac of lesser omentum after IVF-ET is extremely rare and should be treated timely. Laparoscopic surgery is recommended to determinate abdominal pregnancy in the first trimester.
