Successful management of abdominal pregnancy implanted on posterior cul-de-sac with postoperative selective transcatheter artery embolization: A case report

Abstract

Primary abdominal pregnancy with implantation on the posterior cul-de-sac area is a very rare form of ectopic pregnancy that involves nonspecifi c clinical symptoms and physical fi ndings, making early diagnosis very diffi cult. Whereas diagnostic laparoscopy can be performed in suspicious of abdominal pregnancy for accurate diagnosis and treatment, complete ligation of the vessel supplying blood to the placenta during surgery is often diffi cult. In many cases, there is continuous massive hemorrhage after litigation, signifi cantly increasing maternal morbidity and mortality. We herein report with literature references a case of a 33-yearold female patient of primary abdominal pregnancy with implantation on the posterior cul-de-sac area. She showed hemostatic failure in a blood vessel after undergoing a surgery to remove the gestational sac, and was successfully treated with additional transcatheter arterial embolization.