A Case of Abdominal Pregnancy Developed after the Previous Unilateral Adnexectomy

일측 자궁 부속기 절제술 이후 발생한 복강임신 1예

Abdominal pregnancy is one of the rare but extremely harzardous complications of childbearing. The diagnosis of the abdominal pregnancy is rarely made before surgery and the management of it also has many difficult problems. I experienced a case of abdominal pregnancy developed after the previous unilateral adnexectomy and it was a suspicious primary abdominal pregnancy as though did not fulfilled the Studdiford's the following criteria for primary abdominal pregnancy. 1) normal tubes and ovaries with no evidence of recent or remote injury, 2) absence of any evidence of uteroplacental fistula, and 3) presence of a pregnancy related exclusively to the peritoneal surface and young enough to eliminate the possibility of secondary implantation following primary nidation in the tube. And now I present a case with brief review of literatures.

1984년 3월 영남대학교 의과대학 부속병원 산부인과에 자궁외 임신 진단하에 입원하여 응급 개복수술을 시행한 환자에서 일측 자궁부속기 제거술 후 발생한 원발성으로 의심되는 초기 복강 임신 1예를 경험하였기에 문헌고찰과 함께 보고 하였다.