Eisa Amani A, Adam Mohammedelfateh, Alhindi Shima, Azam Afia
Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, IRL.
Obstetrics and Gynaecology, Letterkenny University Hospital, Letterkenny, IRL.
Cureus. 2025 May 20;17(5):e84511. doi: 10.7759/cureus.84511. eCollection 2025 May.
Abdominal pregnancy is an uncommon and potentially life-threatening variant of ectopic pregnancy. It involves the implantation of the gestational sac on abdominal organs or the omentum, posing diagnostic and management challenges due to its varied clinical presentations. We present a case of a 34-year-old gravida 7 para 6 woman with progressive lower abdominal pain, initially suspected to have an ovarian ectopic pregnancy based on ultrasound findings. The patient presented with no vaginal bleeding or shoulder tip pain, and her last menstrual period was uncertain due to lactational amenorrhea. A transvaginal ultrasound confirmed an extrauterine pregnancy at 11+2 weeks, with serum beta-human chorionic gonadotropin (BhCG) levels measured at 58818 mIU/ml. During emergency laparoscopy, an abdominal ectopic pregnancy was identified, with placental attachment to the fimbrial end of the fallopian tube and omentum. A salpingectomy was performed while preserving the ovary. This case report highlights the challenges in diagnosing and managing abdominal ectopic pregnancy and emphasises the importance of considering ectopic pregnancy in the differential diagnosis of abdominal pain in women of reproductive age.
腹腔妊娠是一种罕见且可能危及生命的异位妊娠变体。它涉及妊娠囊在腹部器官或大网膜上着床，因其临床表现多样而带来诊断和管理方面的挑战。我们报告一例34岁、孕7产6的女性，因进行性下腹痛就诊，最初根据超声检查结果怀疑为卵巢异位妊娠。患者无阴道出血或肩顶痛，因哺乳期闭经，末次月经日期不详。经阴道超声证实为孕11⁺²周的宫外妊娠，血清β-人绒毛膜促性腺激素（BhCG）水平为58818 mIU/ml。在急诊腹腔镜检查中，发现为腹腔异位妊娠，胎盘附着于输卵管伞端和大网膜。在保留卵巢的同时进行了输卵管切除术。本病例报告突出了腹腔异位妊娠诊断和管理中的挑战，并强调在育龄女性腹痛的鉴别诊断中考虑异位妊娠的重要性。
