Case report: Successful laparoscopic management of early abdominal pregnancy

BackgroundAbdominal pregnancy is characterized by the implantation of the gestational sac within the peritoneal cavity, specifically outside the fallopian tubes, ovaries, and cervix. This exceedingly rare form of ectopic pregnancy accounts for about 1% of all ectopic pregnancies. When rupture occurs...

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Main Authors: Haixia Li, Limin Feng, Shengpeng Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1515249/full
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author Haixia Li
Limin Feng
Shengpeng Zhang
author_facet Haixia Li
Limin Feng
Shengpeng Zhang
author_sort Haixia Li
collection DOAJ
description BackgroundAbdominal pregnancy is characterized by the implantation of the gestational sac within the peritoneal cavity, specifically outside the fallopian tubes, ovaries, and cervix. This exceedingly rare form of ectopic pregnancy accounts for about 1% of all ectopic pregnancies. When rupture occurs, it can result in a life-threatening situation for the patient, necessitating immediate medical intervention.Case informationIn this study, we report a 33-year-old female patient who presented with abdominal pain and was subsequently diagnosed with an early abdominal pregnancy. Laparoscopic intervention revealed gestational tissue and a rupture site located in the pouch of Douglas. The gestational tissue was successfully excised via laparoscopy, and the rupture site was sutured to achieve hemostasis. Postoperative histopathological analysis confirmed the presence of chorionic villi and trophoblast cells.ConclusionThis case highlights the critical importance of precise diagnosis and laparoscopic intervention in the management of abdominal pregnancy. It is imperative for clinicians to exercise a prudent approach in the diagnosis and treatment of abdominal pregnancy, utilizing a comprehensive assessment that integrates medical history, clinical manifestations, and auxiliary diagnostic tests to enhance the detection and comprehension of this condition.
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spelling doaj-art-d2daafbd41d74c06bb81cca5d6780abe2025-02-04T06:31:59ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011110.3389/fmed.2024.15152491515249Case report: Successful laparoscopic management of early abdominal pregnancyHaixia LiLimin FengShengpeng ZhangBackgroundAbdominal pregnancy is characterized by the implantation of the gestational sac within the peritoneal cavity, specifically outside the fallopian tubes, ovaries, and cervix. This exceedingly rare form of ectopic pregnancy accounts for about 1% of all ectopic pregnancies. When rupture occurs, it can result in a life-threatening situation for the patient, necessitating immediate medical intervention.Case informationIn this study, we report a 33-year-old female patient who presented with abdominal pain and was subsequently diagnosed with an early abdominal pregnancy. Laparoscopic intervention revealed gestational tissue and a rupture site located in the pouch of Douglas. The gestational tissue was successfully excised via laparoscopy, and the rupture site was sutured to achieve hemostasis. Postoperative histopathological analysis confirmed the presence of chorionic villi and trophoblast cells.ConclusionThis case highlights the critical importance of precise diagnosis and laparoscopic intervention in the management of abdominal pregnancy. It is imperative for clinicians to exercise a prudent approach in the diagnosis and treatment of abdominal pregnancy, utilizing a comprehensive assessment that integrates medical history, clinical manifestations, and auxiliary diagnostic tests to enhance the detection and comprehension of this condition.https://www.frontiersin.org/articles/10.3389/fmed.2024.1515249/fullabdominal pregnancyperitoneal cavityectopic pregnancylaparoscopyintervention
spellingShingle Haixia Li
Limin Feng
Shengpeng Zhang
Case report: Successful laparoscopic management of early abdominal pregnancy
Frontiers in Medicine
abdominal pregnancy
peritoneal cavity
ectopic pregnancy
laparoscopy
intervention
title Case report: Successful laparoscopic management of early abdominal pregnancy
title_full Case report: Successful laparoscopic management of early abdominal pregnancy
title_fullStr Case report: Successful laparoscopic management of early abdominal pregnancy
title_full_unstemmed Case report: Successful laparoscopic management of early abdominal pregnancy
title_short Case report: Successful laparoscopic management of early abdominal pregnancy
title_sort case report successful laparoscopic management of early abdominal pregnancy
topic abdominal pregnancy
peritoneal cavity
ectopic pregnancy
laparoscopy
intervention
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1515249/full
work_keys_str_mv AT haixiali casereportsuccessfullaparoscopicmanagementofearlyabdominalpregnancy
AT liminfeng casereportsuccessfullaparoscopicmanagementofearlyabdominalpregnancy
AT shengpengzhang casereportsuccessfullaparoscopicmanagementofearlyabdominalpregnancy