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KMID : 0358420070500071027
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Korean Journal of Obstetrics and Gynecology
2007 Volume.50 No. 7 p.1027 ~ p.1032
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A case of abdominal pregnancy implanted on uterosacral ligament
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Kwon Ji-Young
Park In-Yang
Hwang Sung-Jin
Kim Chan-Joo
Kim Chang-Yee
Sin Woo-Mi
Min Kee-Ok
Yoon Jong-Sook
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Abstract
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Abdominal pregnancy, a rare type of ectopic pregnancy is difficult to be suspected at its first presentation. The diagnosis of this rare disease may often be delayed, since early symptoms are usually non-specific. In some cases, delayed diagnosis of abdominal preganacy can be associated with catastrophic hemorrhage secondary to placental separation. A 24-year old woman visited our emergency unit, presenting with a sudden-onset low abdominal pain. She had undergone uterine curettage 3 weeks before. Transvaginal sonogram of the cul-de-sac revealed complex fluid consistent with blood. On diagnostic laparoscopic operation, we found a ruptured cystic, conception-like structure near the right uterosacral ligament. Histology of the resected structure finally showed chorionic villi consistent with abdominal pregnancy. In this report, we present an unusual case of abdominal pregnancy. This case underscores the careful ultrasonic determination of gestational location at early pregnancy.
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KEYWORD
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abdominal pregnancy, Hemoperitoneum, Diagnostic laparoscopy
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