腹腔鏡下胎嚢切除術により根治できた原発性腹膜妊娠の一例

概要

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We reported a case of peritoneal pregnancy which was completely cured by the resection of the gestational sac by the operative laparoscopic procedure. We performed a laparoscopic operation on a 34 year old woman who had serious low abdominal pain at five weeks and one day gestation, with the pre-operative diagnosis of lt. tubal pregnancy. Unexpectedly, the gestational sac was located on the peritoneum of the vesicouterine pouch. We performed a complete resection of the gestational sac taking care to avoid excessive blood loss. The total blood loss was 1100g, and the operation time was 1 hour and 51minutes. The urine hCG level was under 0.2 IU/L 82 days after the operation without additional medication. Lower blood flow at the implantation site of gestational sac, a smaller size of gestational sac, and an earlier gestational period are important factors for the successful treatment of women with peritoneal pregnancy by laparoscopic operation.
日本産科婦人科内視鏡学会の論文