Primary omental pregnancy

Abstract

We present a case of primary omental ectopic pregnancy in a 31-year-old woman which was discovered intraoperatively during a diagnostic laparoscopy and subsequently removed via mini-laparotomy. We emphasise the rarity of this diagnosis, and the importance of careful inspection of the abdominal cavity including the omentum should an ectopic pregnancy be suspected when bilateral fallopian tubes and ovaries appear normal during surgical exploration.

Primary omental pregnancy after intrauterine insemination: a case report

“…Laparotomy with excision of the embryo has been the classic management for abdominal pregnancy. 4 However, with its widespread availability, laparoscopy should be the modality of choice, especially when the patient is haemodynamically stable, as in our case, and the required expertise is available. Laparoscopic management is associated with fewer morbidities, reduced intraoperative blood loss and a shorter hospital stay.…”

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.…”

“…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.…”

Hidden between the Folds: An Exceedingly Rare Omental Pregnancy

“…Despite methotrexate therapy, symptoms increased and she underwent laparoscopy for management of the presumed ruptured ectopic pregnancy. Abdominal pregnancy is rare, occurring in approximately 0.34-1.3% of all ectopic pregnancies 1,2 , with only 9% found in the omentum 2,3 . Maternal mortality from abdominal pregnancy is 7.7 times higher than tubal ectopic pregnancy 4 .…”