Successful laparoscopic surgery of abdominal pregnancy: report of a case

Abstract

Case Report: A 35-year-old woman who had 3 years infertility period was referred to our hospital because of suspected ectopic pregnancy. A halo surrounded by a thin hyperechoic area, which was suspicious for ectopic pregnancy, was visualized by vaginal sonogram in the right adnexal region and laparoscopic surgery was performed. A 10 x 10 x 10 mm dark blood mass was observed on the left side of peritoneum of vesico-uterine pouch. There was no other findings suggesting ectopic pregnancy anywhere in pelvis. Neovascularity was minimally observed close to the mass and it was resected with adjacent peritoneum after the injection of a dilute vasopressin solution around the mass. The blood loss was little. Operative findings fulfilled Studdiford's criteria of primary peritoneal pregnancy. Villus, decidua and peritoneum were observed in the same specimen. The postoperative course was uneventful and serum hCG level was declined rapidly. It may be possible to manage abdominal pregnancy on laparoscopic surgery without suffering from profuse bleedings, if the diagnosis was established in early pregnancy.