Abstract
The following case report describes a rare case of omental pregnancy in a fertile 34-year-old woman at 5 + 3 weeks of gestation who presented with abdominal pain. Clinical examination, vital signs, and laboratory values were within normal limits, so the woman was hospitalized and monitored. Laparoscopic exploration was performed according to the preoperative diagnosis of tubal pregnancy, but it showed normal pelvic organs. In view of the growth of the β-HCG value, a medical approach was attempted, without success. Due to hemodynamic instability, an emergency laparotomy was performed, and it showed an omental pregnancy, confirmed at the pathological examination.
Highlights
Ectopic pregnancy occurs in about 1%-2% of pregnant woman [1], and its risk is increased approximately 2-fold for infertile women
The present case report illustrates a case of ectopic pregnancy in which both laparoscopic and medical approaches have failed in the management of a primary omental pregnancy
Pathological examination confirmed that an omental ectopic pregnancy and chorionic villi were found between the blood clot and the adipose tissue
Summary
Ectopic pregnancy occurs in about 1%-2% of pregnant woman [1], and its risk is increased approximately 2-fold for infertile women. Complications due to ectopic pregnancy have been significantly reduced because of the possibility of early diagnosis, medical treatment, and minimally invasive surgery. The present case report illustrates a case of ectopic pregnancy in which both laparoscopic and medical approaches have failed in the management of a primary omental pregnancy
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