Early abdominal wall ectopic pregnancy treated with laparoscopic surgery: A case report and literature review
The abdominal wall is a rare site of ectopic implantation. Laparoscopic surgery for early abdominal pregnancy, in contrast to its use for tubal ectopic pregnancy, remains controversial because of concerns regarding heavy bleeding at the implantation site. Treatment of early abdominal pregnancy must...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2023-10, Vol.49 (10), p.2544-2548 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Ishikawa, Yuta Nakanishi, Kentaro Tsumura, Ai Murakami, Koji Nishiwaki, Kunihiko |
| description | The abdominal wall is a rare site of ectopic implantation. Laparoscopic surgery for early abdominal pregnancy, in contrast to its use for tubal ectopic pregnancy, remains controversial because of concerns regarding heavy bleeding at the implantation site. Treatment of early abdominal pregnancy must be individualized for each implantation site. Herein, we present a case of an early abdominal pregnancy implanted in the anterior abdominal wall that was successfully treated with laparoscopic surgery. A 28-year-old multiparous woman with a 6-week amenorrhea presented with acute abdominal pain. An ectopic pregnancy was suspected because of elevated serum human chorionic gonadotropin levels without a visible gestational sac on transvaginal ultrasonography. Diagnostic laparoscopy revealed a gestational sac hanging from the anterior abdominal wall near the previous cesarean section wound. Laparoscopic surgery was successfully performed, and the patient was discharged on postoperative day three. In the present case, laparoscopic surgery was beneficial. |
| doi_str_mv | 10.1111/jog.15739 |
| format | Article |
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Laparoscopic surgery for early abdominal pregnancy, in contrast to its use for tubal ectopic pregnancy, remains controversial because of concerns regarding heavy bleeding at the implantation site. Treatment of early abdominal pregnancy must be individualized for each implantation site. Herein, we present a case of an early abdominal pregnancy implanted in the anterior abdominal wall that was successfully treated with laparoscopic surgery. A 28-year-old multiparous woman with a 6-week amenorrhea presented with acute abdominal pain. An ectopic pregnancy was suspected because of elevated serum human chorionic gonadotropin levels without a visible gestational sac on transvaginal ultrasonography. Diagnostic laparoscopy revealed a gestational sac hanging from the anterior abdominal wall near the previous cesarean section wound. Laparoscopic surgery was successfully performed, and the patient was discharged on postoperative day three. 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Laparoscopic surgery for early abdominal pregnancy, in contrast to its use for tubal ectopic pregnancy, remains controversial because of concerns regarding heavy bleeding at the implantation site. Treatment of early abdominal pregnancy must be individualized for each implantation site. Herein, we present a case of an early abdominal pregnancy implanted in the anterior abdominal wall that was successfully treated with laparoscopic surgery. A 28-year-old multiparous woman with a 6-week amenorrhea presented with acute abdominal pain. An ectopic pregnancy was suspected because of elevated serum human chorionic gonadotropin levels without a visible gestational sac on transvaginal ultrasonography. Diagnostic laparoscopy revealed a gestational sac hanging from the anterior abdominal wall near the previous cesarean section wound. Laparoscopic surgery was successfully performed, and the patient was discharged on postoperative day three. In the present case, laparoscopic surgery was beneficial.</description><subject>Abdominal wall</subject><subject>Amenorrhea</subject><subject>Case reports</subject><subject>Cesarean section</subject><subject>Chorionic gonadotropin</subject><subject>Ectopic pregnancy</subject><subject>Gonadotropins</subject><subject>Implantation</subject><subject>Laparoscopy</subject><subject>Literature reviews</subject><subject>Pituitary (anterior)</subject><subject>Pregnancy complications</subject><subject>Surgery</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpdkctO5DAQRa0RaICeWcwPIEtsmEUavxI77FqIAaSW2LCPKnalJy3nge3Q6r8nzWtBbapUOnWlupeQP5wt-VxX22Gz5LmW5Q9yypXSGdN5cTTPUvHMMF2ckLMYt4xxXXLzk5xIrYQSzJyS7haC31Oo3dC1PXi6A-8p2jSMraVjwE0Pvd3TFBASOrpr03_qYYQwRPvGxClsMOyv6YpaiEgDjkNIFHpHfZswQJrCYfvS4u4XOW7AR_z90Rfk6d_t0819tn68e7hZrTMrtEyZY47xXNY1M6ZsgINhtbENF9w6zQUilFxq6WrllNNF47jitW7yEgWztZALcvkuO4bhecKYqq6NFr2HHocpVsLkSklhZpUFufiGbocpzEYcKM0MM4UoZurvO2Xnt2PAphpD20HYV5xVhwjmq031FsHMnn8oTnWH7ov89Fy-AviJgpY</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Ishikawa, Yuta</creator><creator>Nakanishi, Kentaro</creator><creator>Tsumura, Ai</creator><creator>Murakami, Koji</creator><creator>Nishiwaki, Kunihiko</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0007-7732-7836</orcidid><orcidid>https://orcid.org/0000-0002-0409-584X</orcidid></search><sort><creationdate>20231001</creationdate><title>Early abdominal wall ectopic pregnancy treated with laparoscopic surgery: A case report and literature review</title><author>Ishikawa, Yuta ; Nakanishi, Kentaro ; Tsumura, Ai ; Murakami, Koji ; Nishiwaki, Kunihiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c273t-d0d0153bb0889fa1a80b8cf121cd712eea91373db4d4d76fd141b7f59e20cb23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal wall</topic><topic>Amenorrhea</topic><topic>Case reports</topic><topic>Cesarean section</topic><topic>Chorionic gonadotropin</topic><topic>Ectopic pregnancy</topic><topic>Gonadotropins</topic><topic>Implantation</topic><topic>Laparoscopy</topic><topic>Literature reviews</topic><topic>Pituitary (anterior)</topic><topic>Pregnancy complications</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ishikawa, Yuta</creatorcontrib><creatorcontrib>Nakanishi, Kentaro</creatorcontrib><creatorcontrib>Tsumura, Ai</creatorcontrib><creatorcontrib>Murakami, Koji</creatorcontrib><creatorcontrib>Nishiwaki, Kunihiko</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishikawa, Yuta</au><au>Nakanishi, Kentaro</au><au>Tsumura, Ai</au><au>Murakami, Koji</au><au>Nishiwaki, Kunihiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early abdominal wall ectopic pregnancy treated with laparoscopic surgery: A case report and literature review</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>49</volume><issue>10</issue><spage>2544</spage><epage>2548</epage><pages>2544-2548</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>The abdominal wall is a rare site of ectopic implantation. 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| identifier | ISSN: 1341-8076 |
| ispartof | The journal of obstetrics and gynaecology research, 2023-10, Vol.49 (10), p.2544-2548 |
| issn | 1341-8076 1447-0756 |
| language | eng |
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| source | Wiley-Blackwell Journals |
| subjects | Abdominal wall Amenorrhea Case reports Cesarean section Chorionic gonadotropin Ectopic pregnancy Gonadotropins Implantation Laparoscopy Literature reviews Pituitary (anterior) Pregnancy complications Surgery |
| title | Early abdominal wall ectopic pregnancy treated with laparoscopic surgery: A case report and literature review |
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