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KMID : 0358420120550030213
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 3 p.213 ~ p.217
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Primary uterine serosal pregnancy with myometrial invasion
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Kang Min-Jung
Joo Jung-Kyung
Kang Ji-Hyun
Joo In-Sook
Park Yang-Soon
Seo Kyoung-Young
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Abstract
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Ectopic pregnancy is reported to be 1.5%-2% of all pregnancies. Ectopic pregnancy varies with the site of implantation; abdominal pregnancy has been reported to occur in approximately 1% of patients with ectopic pregnancy. Especially, uterine serosal pregnancy is an extremely rare form of abdominal pregnancy. Although variable diagnostic imaging methods have been developed, accurate diagnosis of the abdominal pregnancy using noninvasive imaging study is still difficult. Delayed diagnosis leads to high maternal morbidity and mortality in relation to massive bleeding. Therefore, diagnostic laparoscopy or laparotomy is generally considered to patients with uncertain diagnosis of the abdominal pregnancy. We experienced a case of primary uterine serosal pregnancy that had a rupture of gestational sac with myometrial invasion. We finally confirmed a definite site of the ectopic pregnancy through laparoscopic exploration. That precise location could be not found by pelvic ultrasonography and magnetic resonance imaging. The patient underwent a subtotal hysterectomy.
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KEYWORD
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Ectopic pregnancy, Abdominal pregnancy, Uterine serosal pregnancy, Diagnostic laparoscopy
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