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Updated: Jun 2, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Successful operative management of an intact second trimester abdominal pregnancy with additional preoperative
Csaba Demendi1, Zoltan Langmár, Ferenc Bánhidy
12nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.
Background:
Abdominal pregnancy is a rare condition that may lead to severe complications.
Case Report:
The authors report the case of a 17-week intact abdominal pregnancy diagnosed in the course of an investigation of lower abdominal pain. Ultrasonography and MR examination revealed an intact abdominal pregnancy. Subsequent angiography was performed to occlude the supportive artery of the pregnancy by selective embolization. The pregnancy was terminated safely by laparotomy a day later. The placenta was left in the abdominal cavity because of the high risk of massive and often uncontrollable bleeding, and treatment with methotrexate was applied postoperatively.
Conclusions:
Preoperative embolization and the postoperative methotrexate therapy facilitate the safe surgical treatment of abdominal pregnancy.
