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Case Reports
. 2018 Dec;132(6):1491-1493.
doi: 10.1097/AOG.0000000000002965.

Retroperitoneal Ectopic Pregnancy

Janie O Pak  1 , John Keyes Durfee, Lucio Pedro, Alicea Osborne, Margaret Larkins-Pettigrew
Affiliations
Case Reports

Retroperitoneal Ectopic Pregnancy

Janie O Pak et al. Obstet Gynecol. 2018 Dec.

Abstract

Background: Retroperitoneal ectopic pregnancies are rare and have a tendency to implant along major vessels of the abdomen and pelvis. Clinical manifestations can vary from no symptoms to hypovolemic shock and death.

Case: A 30-year-old woman presented in hypovolemic shock with left flank and abdominal pain after attempting to medically terminate her first-trimester pregnancy. Intraoperative findings revealed normal pelvic organs with a massive retroperitoneal hematoma containing chorionic villi confirmed on histopathology.

Conclusions: In a woman with a pregnancy of unknown location presenting with worsening flank pain, a retroperitoneal ectopic pregnancy must be considered. Prompt diagnosis and management in a low-resource setting presents additional challenges.

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References

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