Successful Laparoscopic Management of Primary Abdominal Pregnancy in the Cul-De-Sac
In: Taiwanese Journal of Obstetrics & Gynecology, Jg. 44 (2005), Heft 2, S. 172-174
Online
academicJournal
Zugriff:
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.
Titel: |
Successful Laparoscopic Management of Primary Abdominal Pregnancy in the Cul-De-Sac
|
---|---|
Autor/in / Beteiligte Person: | Richard Shih-Hung Young ; Huang, Ming-Chao ; Chen, Chih-Ping |
Link: | |
Zeitschrift: | Taiwanese Journal of Obstetrics & Gynecology, Jg. 44 (2005), Heft 2, S. 172-174 |
Veröffentlichung: | Elsevier, 2005 |
Medientyp: | academicJournal |
ISSN: | 1028-4559 (print) |
DOI: | 10.1016/S1028-4559(09)60133-9 |
Schlagwort: |
|
Sonstiges: |
|