An early extra peritoneal ectopic pregnancy successfully treated with laparoscopy: a case report

Abdominal pregnancy is very rare. Compared to normal and ectopic pregnancies, it has a higher maternal mortality, perinatal mortality and morbidity. We report the case of a 32-year-old G4P1 female of extra peritoneal ectopic pregnancy. There was a past history of tubal pregnancy on the right side in Dec 2012 and she was treated completely by an abdominal salpingectomy. The patient was again diagnosed as ectopic pregnancy due to the largely increased β-HCG, while the location of the sac was still not found. Transverse CT of the abdomen showed a low density circular shadow next to abdominal aorta at the fourth lumbar level. The patient was diagnosed with an abdominal pregnancy by ultrasound and then cured by laparoscopy. The combination of ultrasound and β-HCG plays an important role in diagnosing ectopic pregnancy. And laparoscopy cured the abdominal pregnancy successfully, when the effect of MTX in intramuscular injection on ectopic pregnancy was not significant.