ABSTRACT
Abdominal pregnancy is a rare variation of ectopic pregnancy, which has been classified as primary or secondary. The clinical characteristics of abdominal pregnancy are extremely variable, so early diagnosis is very difficult. Because of high maternal morbidity and mortality, the prompt surgical intervention is required. Omental pregnancy is a very rare form of abdominal pregnancy, which is hard to detect early. The diagnosis of omental pregnancy is hardly ever made prior to laparotomy. We have experienced a case of omental pregnancy in a 36-year-old woman and report this case with brief review of literature.
Subject(s)
Adult , Female , Humans , Pregnancy , Diagnosis , Early Diagnosis , Laparotomy , Mortality , Pregnancy, Abdominal , Pregnancy, EctopicABSTRACT
Abdominal pregnancy is a rare form of ectopic pregnancy, which has been classified as early and advanced abdominal pregnancies. In case of early abdominal pregnancy, we may miss the diagnosis because the symptoms and clinical characteristics are non-specific. However, recently, the early diagnosis is made because of the development of quantitative beta-hCG measurement, transvaginal ultrasonography and the development of laparoscopy. Omental pregnancy is a very rare form of abdominal pregnancy, which is hard to detect early. When ruptured, it accompanies with massive hemorrhage. So, early diagnosis and treatment is essential to prevent high morbidity, mortality and serious complications. Definite diagnosis is made by cytopathologic examination of tissue specimen after surgery. We have experienced a case of ruptured early omental pregnancy and reviewed it briefly.
Subject(s)
Female , Pregnancy , Diagnosis , Early Diagnosis , Hemorrhage , Laparoscopy , Mortality , Pregnancy, Abdominal , Pregnancy, Ectopic , UltrasonographyABSTRACT
Abdominal pregnancy is a rare form of extrauterine pregnancy which is account for 1.4% of all ectopic pregnancy cases. Among these omental pregnancy is extremely rare and may cause life-threatening massive hemorrhage as a complication. But the diagnosis of early abdominal pregnancy is difficult because of non specific findings about clinical history, physical examination and ultrasonography. Risk factors related to ectopic pregnancy include inflammation, infection and surgery, but endometriosis is an uncommon factor. We present a case of the ruptured primary omental pregnancy associated with endometriosis with a review of the literature.
Subject(s)
Female , Pregnancy , Diagnosis , Endometriosis , Hemorrhage , Inflammation , Physical Examination , Pregnancy, Abdominal , Pregnancy, Ectopic , Risk Factors , UltrasonographyABSTRACT
Abdomianl pregnancy is rare, occurring 9.2 cases per 1,000 ectopic pregnancies and encountered in 1 in 10,000-25,000 births. Omental pregnancy is extremely rare form of abdominal pregnancy that may cause life-threatening massive hemorrhage in case of rupture. The clinical characteristics is variable and physical examination by itself may be insufficient for diagnosis. Early and accurate diagnosis is necessary to decrease fetal and maternal mortality and morbidity, serious complications. We report a case of ruptured early omental pregnancy with a review of literature.
Subject(s)
Female , Pregnancy , Diagnosis , Hemorrhage , Maternal Mortality , Parturition , Physical Examination , Pregnancy, Abdominal , Pregnancy, Ectopic , RuptureABSTRACT
Approximately 1% of ectopic pregnancies are abdominal and may result in life threatening complication. In particular, the omental pregnancy is exceedingly rare and less than 10 cases of omental pregnancy were reported in the world. Even some author insisted there is no real omental pregnancy. Actually the abdominal pregnancy was the result of abortion or rupture of tubal pregnancy or rarely abdominal implantation after uterine rupture. In several select first trimester patients with abdominal pregnancies, laparoscopic managements. were recently reported. We report the first case of omental pregnancy, which diagnosed by chance at diagnostic laparoscopy, 6 weeks after her last menstrual period.
Subject(s)
Female , Humans , Pregnancy , Laparoscopy , Pregnancy Trimester, First , Pregnancy, Abdominal , Pregnancy, Ectopic , Pregnancy, Tubal , Rupture , Uterine RuptureABSTRACT
Omental pregnancy is an extremely rare form of abdominal pregnancy that may cause life threatening massive hemorrhage in case of rupture. It may occur by primary implantation of the fertilized ovum in the omentum. The diagnosis is very difficult, but prompt surgical intervention is required when it is suspected, because perinatal mortality and maternal mortality in abdominal pregnancy were 85~95% and 0.5~6%. We experienced a case of omental pregnancy in the first times and reported it with brief review of literature.
Subject(s)
Female , Pregnancy , Diagnosis , Hemorrhage , Maternal Mortality , Omentum , Perinatal Mortality , Pregnancy, Abdominal , Rupture , ZygoteABSTRACT
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.