A case of retroperitoneal ectopic pregnancy of obturator fossa.

You, Ji Yeon; Lee, Ye Ri; Oak, Soon Ae; Park, Jong Hoon; Lee, Eun Hee

doi:2011.54.12.830

Obstet Gynecol Sci > Volume 54(12); 2011 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2011;54(12):830-835.
DOI: https://doi.org/10.5468/KJOG.2011.54.12.830 Published online December 1, 2011.

A case of retroperitoneal ectopic pregnancy of obturator fossa.

Ji Yeon You, Ye Ri Lee, Soon Ae Oak, Jong Hoon Park, Eun Hee Lee

¹Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
²Department of Pathology, Ilsin Christian Hospital, Busan, Korea.
³Department of Obstetrics and Gynecology, Ilsin Christian Hospital, Busan, Korea. ugpooh.you@samsung.com

Abstract

Ectopic pregnancy occurs in approximately 1.5 to 2.0% of pregnancies and accounts for 6% of all maternal deaths. Nearly all ectopic pregnancies are implanted in the fallopian tube. However, they may rarely occur within the retroperitoneal area in 1.3% of the ectopic pregnancy. Early diagnosis is difficult because it is not easy to differentiate symptoms of ectopic pregnancy in obturator fossa with in fallopian tube. Treatment is the removal of ectopic tissue through laparotomy or laparoscopy. A 26-year-old woman was diagnosed with left ectopic pregnancy and amenorrhea for 9+0 weeks and visited our hospital. A diagnosis of ectopic pregnancy in obturator fossa was made by laparoscopy, ectopic conceptus removal and the ligation of left hypogastric artery was performed. We report this case with a brief review of the literatures.

Key Words: Pregnancy, Ectopic, Obturator fossa, Retroperitoneum