CASE REPORT   

Minerva Chirurgica 1999 July-August;54(7-8):505-8

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Laparoscopic treatment in a rare case of intestinal obstruction due to ectopic pregnancy

Catani M., De Milito R., Picconi T., Rattà G., Manzi P., Abati G., Rengo M.

A rare case of intestinal occlusion due to primary abdominal pregnancy is described. Laparoscopy revealed normal appendix and bowel obstruction by adhesion between the last ileal loop and cecum. The adhesion started from a neoformation (diameter 2 cm) localised on the mesenteric side of the ileum, about 30 cm from the ileocecal valve. A resection of the adhesion and dissection of the neoformation were performed. Laparoscopic procedures lasted 30 minutes. Histologic examination of the specimen revealed to be an ectopic pregnancy. The laparoscopic technique permitted to verify the diagnosis and perform the treatment of the abdominal pregnancy in absolute conditions of safety, maintaining the fertility of the patient (actually she is presenting a regular pregnancy).