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KMID : 0358420170600040391
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Korean Journal of Obstetrics and Gynecology
2017 Volume.60 No. 4 p.391 ~ p.395
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Successful laparoscopic management of uterine serosal pregnancy
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Seo Gee-Hee
Lee Hyun-Jung
Jang Ji-Hyun
Choi Min-Chul
Lee Chan
Kim Gwang-Il
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Abstract
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Uterine serosal pregnancy is an extremely rare form of ectopic pregnancy. This is a report of a 35-year-old primigravida woman who was diagnosed with uterine serosal pregnancy via laparoscopic intervention. A 35-year-old woman (gravida 1, para 0) was referred from a local clinic for a ruptured left tubal pregnancy at amenorrhea 5+0 weeks with elevated serum beta human chorionic gonadotropin (16,618 mIU/mL). A pregnancy on the left posterior wall of the uterine serosa was diagnosed during the operation and successfully treated with laparoscopic surgery as a conservative management strategy to enable fertility preservation. With the advantages of ultrasonography and laparoscopy, an early diagnosis of a primary abdominal pregnancy located on the left posterior wall of the uterine serosa was made, prior to the occurrence of severe intra-abdominal massive hemorrhage, which was then treated laparoscopically as a conservative management strategy enabling the preservation of fertility.
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KEYWORD
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Pregnancy, abdominal, Pregnancy, ectopic, Uterine serosal pregnancy
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