title: Secondary abdominal appendicular pregnancy: case report.
abstract: BACKGROUND
  The case report describes a 29-year-old nulliparous woman that was admitted at the Department of Gynecology and Obstetrics of the Clinical Hospital Osijek complaining of mild abdominal pain without vaginal discharge.
  
  
  METHODS
  The patient's menstrual cycle was irregular, from 30-45 days. An ultrasound examination showed suspicion of an ectopic pregnancy with a betaHCG level of 1358 IU/L. Due to the presence of liquid in the pouch of Douglas the patient underwent emergency laparoscopy, which showed the presence of tumor mass between the right Fallopian tube and the appendix. These two structures associated with adhesions corresponded to secondary implantation after spontaneous tubal abortion which was confirmed by histopathologic analysis.
  
  
  CONCLUSIONS
  Laparoscopy has emerged as the"gold standard"in the diagnosis and treatment of ectopic pregnancy, in this case the secondary abdominal pregnancy. From the diagnostic point of view, all women of reproductive age should be considered pregnant until proven otherwise, also keeping in mind that ectopic pregnancies can have different locations and many clinical features.
authors.forename: Mićo
authors.initials: M
authors.lastname: Rosso
authors.forename: Sinisa
authors.initials: S
authors.lastname: Sijanović
authors.forename: Zlatko
authors.initials: Z
authors.lastname: Topolovec
authors.forename: Domagoj
authors.initials: D
authors.lastname: Vidosavljević
authors.forename: Robert
authors.initials: R
authors.lastname: Selthofer
authors.forename: Valerija
authors.initials: V
authors.lastname: Blazicević
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000175:diagnosis* / Q000473:pathology