Clinical and Experimental Reproductive Medicine

The Korean Society for Reproductive Medicine (대한생식의학회)
권호 표지
DOI QR코드

DOI QR Code

Laparoscopic management of early primary peritoneal pregnancy: a case report

  • Koo, Hwa-Seon (Department of Obstetrics & Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Bae, Ju-Youn (Department of Obstetrics & Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Kang, Inn-Soo (Department of Obstetrics & Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Koong, Mi-Kyoung (Department of Obstetrics & Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Kim, Hye-Ok (Department of Obstetrics & Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Cha, Sun-Hwa (Department of Obstetrics & Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Choi, Min-Hye (Department of Obstetrics & Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Kim, Ji-Young (Department of Pathology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine) ;
  • Yang, Kwang-Moon (Department of Obstetrics & Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine)
  • Received : 2011.05.07
  • Accepted : 2011.06.03
  • Published : 2011.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Peritoneal pregnancy is an implantation in the peritoneal cavity exclusive of tubal, ovarian, or intra-ligamentary implantations. This is a rare obstetric complication with high maternal mortality and even higher perinatal mortality, and secondary type was most common. Risk factors for peritoneal pregnancy are previous history of extrauterine pregnancy or tubal surgery pelvic post-inflammatory status or presence of an intrauterine device. As it is a life-threatening condition, expectant management carries a risk of sudden life-threatening intra-abdominal bleeding and a generally poor fetal prognosis. So, when it is recognized, immediate termination of pregnancy is usually recommended. Early diagnosis of peritoneal pregnancy is difficult, but is important by their life threatening progress course to patients. Recently, we experienced primary peritoneal pregnancy which meets both the original and modified criteria. In this paper, we reported the case of early diagnosed and successfully treated peritoneal pregnancy despite of their diagnosis was incidentally.

Keywords

References

  1. Stucki D, Buss J. The ectopic pregnancy, a diagnostic and therapeutic challenge. J Med Life 2008;1:40-8.
  2. Worley KC, Hnat MD, Cunningham FG. Advanced extrauterine pregnancy: diagnostic and therapeutic challenges. Am J Obstet Gynecol 2008;198:297.e1-7. https://doi.org/10.1016/j.ajog.2007.09.044
  3. Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Williams obstetrics. 23rd ed. New York, NY: McGraw-Hill Professional; 2010.
  4. Studdiford WE. Primary peritoneal pregnancy. Am J Obstet Gynecol 1942;44:487-91. https://doi.org/10.1016/S0002-9378(42)90488-5
  5. Friedrich EG Jr, Rankin CA Jr. Primary pelvic peritoneal pregnancy. Obstet Gynecol 1968;31:649-53. https://doi.org/10.1097/00006250-196805000-00009
  6. Gupta P, Sehgal A, Huria A, Mehra R. Secondary abdominal pregnancy and its associated diagnostic and operative dilemma: three case reports. J Med Case Reports 2009;3:7382. https://doi.org/10.4076/1752-1947-3-7382
  7. Atrash HK, Friede A, Hogue CJ. Abdominal pregnancy in the United States: frequency and maternal mortality. Obstet Gynecol 1987;69:333-7.
  8. Costa SD, Presley J, Bastert G. Advanced abdominal pregnancy. Obstet Gynecol Surv 1991;46:515-25. https://doi.org/10.1097/00006254-199108000-00003
  9. Allibone GW, Fagan CJ, Porter SC. The sonographic features of intra-abdominal pregnancy. J Clin Ultrasound 1981;9:383-7. https://doi.org/10.1002/jcu.1870090706
  10. Martin JN Jr, McCaul JF 4th. Emergent management of abdominal pregnancy. Clin Obstet Gynecol 1990;33:438-47. https://doi.org/10.1097/00003081-199009000-00008
  11. Ang LP, Tan AC, Yeo SH. Abdominal pregnancy: a case report and literature review. Singapore Med J 2000;41:454-7.
  12. Shafi SM, Malla MA, Salaam PA, Kirmani OS. Abdominal pregnancy as a cause of hemoperitoneum. J Emerg Trauma Shock 2009;2:196-8. https://doi.org/10.4103/0974-2700.55342
  13. Maas DA, Slabber CF. Diagnosis and treatment of advanced extra-uterine pregnancy. S Afr Med J 1975;49:2007-10.

Cited by

  1. Successful Laparoscopic Surgery for an Abdominal Pregnancy: Report of Four Cases vol.29, pp.1, 2013, https://doi.org/10.5180/jsgoe.29.141
  2. Successful Laparoscopic Surgery for an Abdominal Pregnancy: Report of Four Cases vol.29, pp.1, 2013, https://doi.org/10.5180/jsgoe.29.141
  3. Peritoneal pregnancy with massive hemoperitoneum in early gestation: two case reports vol.3, pp.6, 2011, https://doi.org/10.1002/ccr3.266