Successful Laparoscopic Management of Primary Abdominal Pregnancy in the Cul-De-Sac
Objective: We report a rare case of primary abdominal pregnancy in the Douglas cul-de-sac that was successfully treated with laparoscopy. Case Report: A 31-year-old primigravida woman had undergone intrauterine insemination 5 weeks prior to presentation. Ultrasound examination at presentation reveal...
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| Main Authors: | , , |
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| Format: | Book |
| Published: |
Elsevier,
2005-06-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | Objective: We report a rare case of primary abdominal pregnancy in the Douglas cul-de-sac that was successfully treated with laparoscopy. Case Report: A 31-year-old primigravida woman had undergone intrauterine insemination 5 weeks prior to presentation. Ultrasound examination at presentation revealed an ectopic gestational sac in the cul-de-sac without any evidence of intrauterine pregnancy, and serum β-human chorionic gonadotropin (β-hCG) was 46,601 mIU/mL. Laparoscopy was performed and revealed an ectopic mass implanted in the cul-de-sac. The gestational tissue was removed by grasping forceps and hydrodissection. Bipolar electrocauterization and tamponading with Surgicel(tm) were used for hemostasis at the defect of the peritoneum. Serum β-hCG fell rapidly after surgery. The patient had a term baby delivered successfully 2 years postoperatively. Conclusion: Early diagnosis of abdominal pregnancy enabled successful laparoscopic management. |
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| Item Description: | 1028-4559 10.1016/S1028-4559(09)60133-9 |