Successful laparoscopic management of uterine serosal pregnancy.
10.5468/ogs.2017.60.4.391
- Author:
Gee Hee SEO
1
;
Hyun Jung LEE
;
Ji Hyun JANG
;
Min Chul CHOI
;
Chan LEE
;
Gwangil KIM
Author Information
1. Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
- Publication Type:Case Report
- Keywords:
Pregnancy, abdominal;
Pregnancy, ectopic;
Uterine serosal pregnancy
- MeSH:
Adult;
Amenorrhea;
Chorionic Gonadotropin;
Early Diagnosis;
Female;
Fertility;
Fertility Preservation;
Hemorrhage;
Humans;
Laparoscopy;
Pregnancy*;
Pregnancy, Abdominal;
Pregnancy, Ectopic;
Pregnancy, Tubal;
Serous Membrane;
Ultrasonography
- From:Obstetrics & Gynecology Science
2017;60(4):391-395
- CountryRepublic of Korea
- Language:English
-
Abstract:
Uterine serosal pregnancy is an extremely rare form of ectopic pregnancy. This is a report of a 35-year-old primigravida woman who was diagnosed with uterine serosal pregnancy via laparoscopic intervention. A 35-year-old woman (gravida 1, para 0) was referred from a local clinic for a ruptured left tubal pregnancy at amenorrhea 5+0 weeks with elevated serum beta human chorionic gonadotropin (16,618 mIU/mL). A pregnancy on the left posterior wall of the uterine serosa was diagnosed during the operation and successfully treated with laparoscopic surgery as a conservative management strategy to enable fertility preservation. With the advantages of ultrasonography and laparoscopy, an early diagnosis of a primary abdominal pregnancy located on the left posterior wall of the uterine serosa was made, prior to the occurrence of severe intra-abdominal massive hemorrhage, which was then treated laparoscopically as a conservative management strategy enabling the preservation of fertility.
