A Case of Omental Pregnancy Complicated by Dilatation and Curettage.

Ha, Jae Ho; Kim, Jin Ho; Bang, Se Chang; Choi, Jong Hyun; Park, Eui U; Seung, Kyung Rok

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(10):2295-2299.
Published online January 1, 2001.

A Case of Omental Pregnancy Complicated by Dilatation and Curettage.

Jae Ho Ha, Jin Ho Kim, Se Chang Bang, Jong Hyun Choi, Eui U Park, Kyung Rok Seung

¹Department of Obstetrics and Gynecology, College of medicine, KonKuk University, Korea.
²Department of Pathology, College of medicine, KonKuk University, Korea.

Abstract

Abdominal pregnancies are classified as primary and secondary. The incidence varies from one in 372 to one in 9714 live birth. When this occurs, perinatal morbidity and mort-ality are high, usually as a result of growth restriction and congenital anomalies such as fetal pulmonary hypoplasia, pressure deformities, facial and limb asymmetry. Omental pregnancy is an extremely rare form of abdominal pregnancy that may cause life-threatening massive hemorrhage in case of rupture. A case of this rare entity is prese- nted after dilatation and curettage in which gestational tissue was found to arise from the edge of greater omentum, requiring partial omentectomy. The diagnosis of omental pregnancy is hardly ever made prior to laparotomy. This case of omental pregnancy, believed to be secondary, was recently experienced and it is reported here with a brief review of the literature.

Key Words: Secondary omental pregnancy, Abdominal pregnancy