Laparoscopic Management of Abdominal Pregnancy Replaced in the Vesicouterine Pouch and Sacrouterine Ligament

Abstract

Abdominal pregnancies are rare and life threatening conditions with increased maternal mortality rate. A37-year old woman admitted with acute abdominal pain. She had a history of dilatation and curettage dueto anembryonic pregnancy five days ago. A pelvic X Ray confirmed an abdominally located IUCD. Herserum ?-human chorionic gonadotropin level was 5531 mIU/mL. A laparoscopy was performed and therewas a round hemorrhagic mass in the vesicouterine pouch in exploration. The trophoblastic tissue wasremoved from in the vesicouterine pouch and left sacrouterine ligament. The histopathology report revealed chorionic villi both of the excised specimens. The abdominal cavity should be explored carefullyin suspicion of abdominal pregnancy and laparoscopic management is a feasible approach for this cases.