A case of laparoscopic treatment of the retroperitoneal ectopic pregnancy.

Park, Bo Ra; Lee, Na Hye; Ann, Chi Ok; Shim, Hyun Jin; Jo, Eun Kyu; Kim, Yun Sook; Bae, Dong Han

doi:2011.54.4.223

Obstet Gynecol Sci > Volume 54(4); 2011 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2011;54(4):223-227.
DOI: https://doi.org/10.5468/KJOG.2011.54.4.223 Published online April 1, 2011.

A case of laparoscopic treatment of the retroperitoneal ectopic pregnancy.

Bo Ra Park, Na Hye Lee, Chi Ok Ann, Hyun Jin Shim, Eun Kyu Jo, Yun Sook Kim, Dong Han Bae

Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. drsook@schmc.ac.kr

Abstract

Ectopic pregnancy accounts for approximately 2% of all pregnancies and is the most common cause of pregnancy-related mortality in the first trimester. Initial evaluation consists of beta-hCG and pelvic ultrasonography. The fallopian tube is the most common location for an ectopic pregnancy. Other types of ectopic pregnancy include cornual, ovarian, cervical, scar, and abdominal pregnancy. In very rare cases, the abdominal pregnancy may be retroperitoneal. The diagnosis is seldom established before surgery and therapy is surgical resection of the ectopic mass. A 26-year-old woman visited our emergency department with sudden massive vaginal bleeding. She had undergone curettage 3 weeks before. But the transvaginal sonogram of the cul-de-sac revealed no fluid collection. She failed variable-dose methotrexate therapy. On laparoscopic operation, we found a cystic, conception-like structure in the retroperitoneum. Histology of resected structure showed chorionic villi. We describe this case with a brief review of the literature.

Key Words: Laparoscopy, Retroperitoneum, Ectopic pregnancy