Laparoscopic Management of Abdominal Pregnancy Replaced in the Vesicouterine Pouch and Sacrouterine Ligament

Cihan Kaya,Murat Ekin

doi:10.21613/gorm.2016.645

Abstract

AAbdominal pregnancies are rare and life threatening conditions with increased maternal mortality rate. A 37-year old woman admitted with acute abdominal pain. She had a history of dilatation and curettage due to anembryonic pregnancy five days ago. A pelvic X Ray confirmed an abdominally located IUCD. Her serum β-human chorionic gonadotropin level was 5531 mIU/ml. A laparoscopy was performed and there was a round hemorrhagic mass in the vesicouterine pouch in exploration. The trophoblastic tissue was removed from the vesicouterine pouch and left sacrouterine ligament. The histopathology report revealed chorionic villi both of the excised specimens. The abdominal cavity should be explored carefully in suspicion of abdominal pregnancy and laparoscopic management is a feasible approach for this cases.

Highlights

Abdominal pregnancies are rare and life threatening conditions, accounting for 1.3% of all ectopic pregnancies (1)
Laparoscopic Management of Abdominal Pregnancy Replaced in the Vesicouterine Pouch and Sacrouterine Ligament
Presence of pregnancy in vesicouterine pouch is a rare with a reported four cases in the literature (4). In this case we presented a case of laparoscopically managed abdominal pregnancy located in the vesicouterine pouch and sacrouterine ligament with a migrated intrauterine contraceptive device (IUCD) into the pelvic cavity

Summary

Introduction

Abdominal pregnancies are rare and life threatening conditions, accounting for 1.3% of all ectopic pregnancies (1). The reported risk factors for ectopic pregnancies are previous tubal surgeries, history of pelvic inflammatory disease, presence of intrauterine contraceptive device (IUCD) or smoking habit (5). Laparoscopic Management of Abdominal Pregnancy Replaced in the Vesicouterine Pouch and Sacrouterine Ligament. There has been a varying number of cases reported abdominal pregnancies in different locations such as; omentum, pouch of Douglas, spleen, bowel, liver, intra-abdominal surface of the diaphragm.

Results

Conclusion