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Hum. Reprod. Advance Access published online on January 7, 2005
Human Reproduction, doi:10.1093/humrep/deh683
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Human Reproduction © European Society of Human Reproduction and Embryology 2005; all rights reserved
Received August 9, 2004
Revised October 19, 2004
Accepted November 23, 2004

Case Report

Primary omental pregnancy: Case report

M.A. Onan 1*, A.B. Turp 1, A. Saltik 1, N. Akyurek 2, C. Taskiran 1, and O. Himmetoglu 1

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Gazi University, Besevler, Ankara, Turkey
2 Department of Pathology, Faculty of Medicine, Gazi University, Besevler, Ankara, Turkey

* To whom correspondence should be addressed.
M.A. Onan, E-mail: maonan{at}gazi.edu.tr


  Abstract

Omental pregnancy is a very rare form of ectopic pregnancy. Here we presented a case of primary omental pregnancy diagnosed at surgical exploration. A 28 year old woman submitted with severe abdominal pain, without any delay of menstruation. History of the patient revealed no use of contraceptive method. There was no gestational sac in the endometrial cavity and no tubal ring in the adnexa, but free peritoneal fluid in the pouch of Douglas was detected at ultrasonography. Laparotomy was done according to pre-operative diagnosis of ruptured tubal pregnancy. Bilateral tubes and ovaries were intact; omental pregnancy was detected and partial omentectomy was performed. Although 16 cases of omental pregnancy (mostly secondary) were reported in the literature, herein we describe a primary omental pregnancy without adnexial involvement.

Keywords: ectopic pregnancy; primary omental pregnancy; surgical treatment.
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