単孔式の腹腔鏡下手術を行った腹膜妊娠の1例

抄録

Introduction: Single-site laparoscopy is a type of reduced-port surgery. As there is no visible scarring, its use is rapidly increasing. Ectopic abdominal pregnancy is rare. Accordingly, there is no definitive treatment. There are few reports of abdominal pregnancy treated with single-site laparoscopy. We experienced a patient whose abdominal pregnancy was successfully treated with single site-laparoscopy.

Case presentation: A 28-year-old woman was sent to our hospital because of suspected tubal pregnancy. A gestational sac and small fetus with a heartbeat were identified behind the uterus, near the left ovary. The serum hCG level was 30,760 mIU/ml. We decided to perform single-site laparoscopy. Both Fallopian tubes were normal, and an area suspicious for abdominal pregnancy was found in the cul-de-sac. We confirmed the site of ectopic pregnancy using intraoperative transvaginal ultrasound, and excised the region containing villi. The postoperative course was good, with little pain and satisfactory wound healing.

Conclusion: Single-site laparoscopy is a good option for a patient with abdominal pregnancy.