Hidden between the Folds: An Exceedingly Rare Omental Pregnancy

Abstract

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Omentum pregnancy resulting in severe hemoperitoneum: Lessons learned from a review of the literature along with a case report

“…Omentum pregnancy is a rare type of abdominal pregnancy, which is itself a rare presentation. Pregnancy of the omentum is a rare subset of abdominal pregnancy that can only be diagnosed during surgery, 1 – 25 as the location of the ectopic embryo can only be determined at this time. Ectopic pregnancies can be dangerous and may cause a large amount of abdominal bleeding.…”

“…Early pregnancy ultrasound testing is crucial. 1 – 9 , 11 – 16 , 18 , 20 , 23 Women should undergo standardized prenatal checkups when their menstrual period fails to come on time. Ultrasonography should be performed to detect ectopic pregnancies as early as possible.…”

“…Abdominal pregnancies generally require surgical treatment and early omentum pregnancy can be treated laparoscopically. 1 , 2 , 5 , 7 , 9 , 11 – 13 , 16 Often, ectopic embryo implantation sites can only be identified at the time of surgery. Because of the high risk of bleeding and accidental damage to adjacent organs, performing abdominal pregnancy surgery to resect the gestational sac is challenging.…”

“…A few cases of omentum pregnancy have been reported in the literature. 1 – 25 It is known that abdominal pregnancy often results in severe hemoperitoneum. 2 , 3 , 7 , 10 , 13 , 15 , 18 This current case report describes a female patient with a second-trimester pregnancy in which the embryo was implanted in the omentum and the patient presented with severe hemoperitoneum.…”

Unusual Location: Omental Ectopic Pregnancy Killing Me Slowly

“…1 Approximately 0.34% to 1.3% of all ectopic pregnancies are abdominal pregnancy, with only 9% found in omentum. 2 Abdominal pregnancy is a rare form of ectopic pregnancy within the peritoneal cavity, exclusive of the fallopian tubes, ovaries, broad ligament, and cervix. It is associated with high maternal and fetal morbidity and mortality.…”