Laparoscopic management of early primary omental pregnancy.
OBJECTIVE
To describe the successful laparoscopic management of an omental pregnancy.


METHODS
Case report.


METHODS
University of Schleswig-Holstein, Campus Luebeck, Department of Gynecology and Obstetrics.


METHODS
A 25-year-old patient with an omental pregnancy.


METHODS
Laparoscopic partial omentectomy.


METHODS
Successful laparoscopic management of an omental pregnancy.


RESULTS
A 25-year-old woman reported having abdominal pain. Her urine pregnancy test was positive. She had been using an intrauterine copper device for a period of 2.5 years. Gynecologic examination revealed normal results, in the uterus and fallopian tubes especially, where no signs of pregnancy were found through clinical and sonographic examination. Because the patient had had increasing pain, a laparoscopy was performed. There was approximately 500 mL of dark blood found in the cul de sac. The uterus and fallopian tubes appeared normal and without any signs of pregnancy. However, there was a cavity detected in the omentum majus. A partial omentectomy then was performed laparoscopically. An omental pregnancy was confirmed by beta-hCG-positive trophoblast cells in the omentum majus.


CONCLUSIONS
Omental pregnancy can be rather difficult to identify. If there is no evidence of tubal pregnancy, laparoscopy may help to confirm the diagnosis of omental pregnancy and simultaneously offer minimal invasive therapy.
Hornemann
Amadeus
A
Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Luebeck, Luebeck, Germany.
Holl-Ulrich
Konstanze
K
Finas
Dominique
D
Altgassen
Christopher
C
Diedrich
Klaus
K
Hornung
Daniela
D
D015746:Abdominal Pain / Q000209:etiology* / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D000328:Adult; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood / Q000378:metabolism; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009852:Omentum / Q000737:chemistry / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011258:Pregnancy Tests; D011269:Pregnancy, Abdominal / Q000175:diagnosis / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D014327:Trophoblasts / Q000378:metabolism
D018997:Chorionic Gonadotropin, beta Subunit, Human