Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges

Background. Retroperitoneal ectopic pregnancy is extremely rare. This unusual location represents a great challenge for clinicians due to the difficulties of diagnosis and high risk of life-threatening complications. Case Report. We report the case of a spontaneous early pregnancy of undetermined lo...

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Main Authors: Salma Ouassour, Abdelhai Adib Filali, Mohamed Raiss, Rachid Bezad, Zakia Tazi, Mohamed Hassan Alami, Jihane Bennani, Rachida Dafiri
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2017/9871865
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author Salma Ouassour
Abdelhai Adib Filali
Mohamed Raiss
Rachid Bezad
Zakia Tazi
Mohamed Hassan Alami
Jihane Bennani
Rachida Dafiri
author_facet Salma Ouassour
Abdelhai Adib Filali
Mohamed Raiss
Rachid Bezad
Zakia Tazi
Mohamed Hassan Alami
Jihane Bennani
Rachida Dafiri
author_sort Salma Ouassour
collection DOAJ
description Background. Retroperitoneal ectopic pregnancy is extremely rare. This unusual location represents a great challenge for clinicians due to the difficulties of diagnosis and high risk of life-threatening complications. Case Report. We report the case of a spontaneous early pregnancy of undetermined location in a patient with a history of previous laparoscopic surgery. Diagnosis steps using clinical examination, ultrasound, and magnetic resonance imaging led to the localization of the pregnancy, in the left side of the para-aortic region, in the retroperitoneal space. Conclusion. Retroperitoneal ectopic pregnancy is an uncommon entity with rather complex pathogenesis. Clinicians should carefully interpret clinical signs, biological findings, and imaging features and be aware of unusual locations such as the retroperitoneum for ectopic pregnancies. Early diagnosis and appropriate management strategy are conditio sine qua non for successful treatment outcomes.
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publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-be57f4e666ce41b4af6418dc141736622025-08-20T02:18:36ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/98718659871865Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic ChallengesSalma Ouassour0Abdelhai Adib Filali1Mohamed Raiss2Rachid Bezad3Zakia Tazi4Mohamed Hassan Alami5Jihane Bennani6Rachida Dafiri7Department of Obstetrics and Gynecology, National Center for Reproductive Health Ibn Sina, University Mohammed V Rabat, 1 Rue Soekarno, Rabat, MoroccoDepartment of Obstetrics and Gynecology, National Center for Reproductive Health Ibn Sina, University Mohammed V Rabat, 1 Rue Soekarno, Rabat, MoroccoDepartment of Visceral Surgery C, Ibn Sina Public Hospital, University Mohammed V Rabat, Rabat, MoroccoDepartment of Obstetrics and Gynecology, National Center for Reproductive Health Ibn Sina, University Mohammed V Rabat, 1 Rue Soekarno, Rabat, MoroccoDepartment of Obstetrics and Gynecology, National Center for Reproductive Health Ibn Sina, University Mohammed V Rabat, 1 Rue Soekarno, Rabat, MoroccoDepartment of Obstetrics and Gynecology, National Center for Reproductive Health Ibn Sina, University Mohammed V Rabat, 1 Rue Soekarno, Rabat, MoroccoDepartment of Radiology, Ibn Sina Public Hospital, University Mohammed V Rabat, Rabat, MoroccoDepartment of Radiology, Ibn Sina Public Hospital, University Mohammed V Rabat, Rabat, MoroccoBackground. Retroperitoneal ectopic pregnancy is extremely rare. This unusual location represents a great challenge for clinicians due to the difficulties of diagnosis and high risk of life-threatening complications. Case Report. We report the case of a spontaneous early pregnancy of undetermined location in a patient with a history of previous laparoscopic surgery. Diagnosis steps using clinical examination, ultrasound, and magnetic resonance imaging led to the localization of the pregnancy, in the left side of the para-aortic region, in the retroperitoneal space. Conclusion. Retroperitoneal ectopic pregnancy is an uncommon entity with rather complex pathogenesis. Clinicians should carefully interpret clinical signs, biological findings, and imaging features and be aware of unusual locations such as the retroperitoneum for ectopic pregnancies. Early diagnosis and appropriate management strategy are conditio sine qua non for successful treatment outcomes.http://dx.doi.org/10.1155/2017/9871865
spellingShingle Salma Ouassour
Abdelhai Adib Filali
Mohamed Raiss
Rachid Bezad
Zakia Tazi
Mohamed Hassan Alami
Jihane Bennani
Rachida Dafiri
Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges
Case Reports in Surgery
title Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges
title_full Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges
title_fullStr Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges
title_full_unstemmed Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges
title_short Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges
title_sort retroperitoneal ectopic pregnancy diagnosis and therapeutic challenges
url http://dx.doi.org/10.1155/2017/9871865
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AT abdelhaiadibfilali retroperitonealectopicpregnancydiagnosisandtherapeuticchallenges
AT mohamedraiss retroperitonealectopicpregnancydiagnosisandtherapeuticchallenges
AT rachidbezad retroperitonealectopicpregnancydiagnosisandtherapeuticchallenges
AT zakiatazi retroperitonealectopicpregnancydiagnosisandtherapeuticchallenges
AT mohamedhassanalami retroperitonealectopicpregnancydiagnosisandtherapeuticchallenges
AT jihanebennani retroperitonealectopicpregnancydiagnosisandtherapeuticchallenges
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