A case of abdominal pregnancy implanted on uterosacral ligament.

Kwon, Ji Young; Shin, Woo Mi; Yoon, Jong Sook; Hwang, Seong Jin; Park, In Yang; Min, Ki Ouk; Kim, Chan Joo; Kim, Chang Yi

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(7):1027-1032.
Published online July 1, 2007.

A case of abdominal pregnancy implanted on uterosacral ligament.

Ji Young Kwon, Woo Mi Shin, Jong Sook Yoon, Seong Jin Hwang, In Yang Park, Ki Ouk Min, Chan Joo Kim, Chang Yi Kim

¹Department of Obstetrics and Gynecology, College of Medicine, Catholic University of Korea. ooooobbbbb@catholic.ac.kr
²Department of Hospital Pathology, College of Medicine, Catholic University of Korea.

Abstract

Abdominal pregnancy, a rare type of ectopic pregnancy is difficult to be suspected at its first presentation. The diagnosis of this rare disease may often be delayed, since early symptoms are usually non-specific. In some cases, delayed diagnosis of abdominal preganacy can be associated with catastrophic hemorrhage secondary to placental separation. A 24-year old woman visited our emergency unit, presenting with a sudden-onset low abdominal pain. She had undergone uterine curettage 3 weeks before. Transvaginal sonogram of the cul-de-sac revealed complex fluid consistent with blood. On diagnostic laparoscopic operation, we found a ruptured cystic, conception-like structure near the right uterosacral ligament. Histology of the resected structure finally showed chorionic villi consistent with abdominal pregnancy. In this report, we present an unusual case of abdominal pregnancy. This case underscores the careful ultrasonic determination of gestational location at early pregnancy.

Key Words: Abdominal pregnancy, Hemoperitoneum, Diagnostic laparoscopy