Ouassour Salma, Filali Abdelhai Adib, Raiss Mohamed, Bezad Rachid, Tazi Zakia, Alami Mohamed Hassan, Bennani Jihane, Dafiri Rachida
Department of Obstetrics and Gynecology, National Center for Reproductive Health Ibn Sina, University Mohammed V Rabat, 1 Rue Soekarno, Rabat, Morocco.
Department of Visceral Surgery C, Ibn Sina Public Hospital, University Mohammed V Rabat, Rabat, Morocco.
Case Rep Surg. 2017;2017:9871865. doi: 10.1155/2017/9871865. Epub 2017 Oct 22.
Retroperitoneal ectopic pregnancy is extremely rare. This unusual location represents a great challenge for clinicians due to the difficulties of diagnosis and high risk of life-threatening complications.
We report the case of a spontaneous early pregnancy of undetermined location in a patient with a history of previous laparoscopic surgery. Diagnosis steps using clinical examination, ultrasound, and magnetic resonance imaging led to the localization of the pregnancy, in the left side of the para-aortic region, in the retroperitoneal space.
Retroperitoneal ectopic pregnancy is an uncommon entity with rather complex pathogenesis. Clinicians should carefully interpret clinical signs, biological findings, and imaging features and be aware of unusual locations such as the retroperitoneum for ectopic pregnancies. Early diagnosis and appropriate management strategy are conditio sine qua non for successful treatment outcomes.
腹膜后异位妊娠极为罕见。由于诊断困难且存在危及生命并发症的高风险，这种不寻常的位置给临床医生带来了巨大挑战。
我们报告了一例既往有腹腔镜手术史患者的不明位置早期自然妊娠病例。通过临床检查、超声和磁共振成像进行的诊断步骤确定了妊娠位于腹膜后间隙主动脉旁区域左侧。
腹膜后异位妊娠是一种发病机制相当复杂的罕见病症。临床医生应仔细解读临床体征、生物学检查结果和影像学特征，并警惕异位妊娠的不寻常位置，如腹膜后。早期诊断和恰当的管理策略是获得成功治疗结果的必要条件。
