Document Detail


Laparoscopic management of a primary omental pregnancy after clomiphene induction.
MedLine Citation:
PMID:  19327765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe the successful laparoscopic management of a primary omental pregnancy. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology, Dr. Sami Ulus Obstetrics, Gynecology and Children's Hospital, Ankara, Turkey. PATIENT(S): A 22-year-old patient with an omental pregnancy. INTERVENTION(S): Laparoscopic partial omentectomy. MAIN OUTCOME MEASURE(S): Successful laparoscopic management of an omental pregnancy. RESULT(S): A 22-year-old woman presented to the emergency room with abdominal pain and vaginal spotting. She was undergoing clomiphene (CC) induction for infertility and had a positive urine pregnancy test at home. A right adnexal ectopic pregnancy was reported by ultrasonography. Due to increasing pain, laparoscopy was performed. The uterus and fallopian tubes appeared normal without any signs of pregnancy. A well-vascularized intact omental gestational sac was discovered in the right adnexal region in close proximity to the right ovary. By laparoscopy, the sac was resected with partial omentectomy. A primary omental pregnancy was confirmed by beta-hCG-positive trophoblast cells among omental fat cells. CONCLUSION(S): Omental pregnancy is rather difficult to identify due to localization. When in close proximity to the adnexal region, it may mimic a tubal ectopic pregnancy. Laparoscopy offers a minimally invasive method for diagnosis and therapy.
Authors:
Sertac Esin; Hilmi Yildirim; Fikret Tanzer
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-03-26
Journal Detail:
Title:  Fertility and sterility     Volume:  92     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-29     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  392.e1-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Dr. Sami Ulus Obstetrics, Gynecology and Children's Hospital, Ankara, Turkey. sertacesin@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced*
Chorionic Gonadotropin / blood
Clomiphene / therapeutic use*
Estrogen Antagonists / therapeutic use*
Female
Humans
Laparoscopy
Omentum / pathology,  surgery*
Pregnancy
Pregnancy, Ectopic / pathology,  surgery*,  ultrasonography
Young Adult
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin; 0/Estrogen Antagonists; 911-45-5/Clomiphene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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