腹腔鏡下に治療し得た腹膜妊娠の4症例

概要

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<B>Case Report:</B> Approximately 1% of ectopic pregnancies are abdominal pregnancies; these pregnancies may be life threatening. We present four cases in which abdominal pregnancy was successfully managed by operative laparoscopy and two cases in which abdominal pregnancy was managed by laparotomy, together with a review of the published literature. In the four cases, which were managed by laparoscopy, the products of conception and blood clots were resected laparoscopically with controlled hemostasis. In two cases, conversion from a laparoscopy to a laparotomy was necessary because bleeding at the implantation site was uncontrollable. Operative laparoscopy is an appropriate method for the treatment of an abdominal pregnancy when the site of implantation does not involve the surface of the intestinal tract. However, abdominal pregnancy accompanied by active bleeding from the site may require conversion from laparoscopy to laparotomy.
日本産科婦人科内視鏡学会の論文