Successful laparoscopic management of uterine serosal pregnancy.

Abstract

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.

• Authors: Gee Hee Seo, Hyun Jung Lee, Ji-Hyun Jang, Min Chul Choi, Chan Lee, Gwangil Kim
• Journal: Obstetrics & gynecology science (Obstet Gynecol Sci) Vol. 60 Issue 4 Pg. 391-395 (Jul 2017) ISSN: 2287-8572 [Print] Korea (South)
• PMID: 28791274 (Publication Type: Case Reports)