Primary omental ectopic pregnancy: A rare case report

Area of Science:

• Reproductive Medicine
• Surgical Gynecology
• Maternal-Fetal Medicine

Background:

• Primary abdominal pregnancy is an exceptionally rare ectopic pregnancy variant.
• Implantation occurs directly within the peritoneal cavity, bypassing the fallopian tubes.
• Associated with substantial maternal morbidity and mortality risks.

Observation:

• A 5-week primary omental pregnancy was diagnosed.
• The omentum, a peritoneal fold, served as the implantation site.
• The patient presented with symptoms indicative of ectopic pregnancy.

Findings:

• Laparotomy was performed for the management of the omental pregnancy.
• Surgical intervention was deemed necessary due to the high-risk nature of the condition.
• Successful removal of the ectopic pregnancy was achieved via laparotomy.

Implications:

• This case underscores the importance of considering rare ectopic pregnancy presentations.
• Laparotomy remains a viable management option for primary omental pregnancy.
• Early diagnosis and surgical intervention are critical for improving maternal outcomes in high-risk ectopic pregnancies.