Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Retroperitoneal Ectopic Pregnancy Detected by CT: A Case Report

CT에서 발견된 후복막 자궁외 임신: 증례 보고

  • Sunjin Ryu (Department of Radiology, College of Medicine, Hanyang University) ;
  • Chul-min Lee (Department of Radiology, College of Medicine, Hanyang University) ;
  • Bo-Kyeong Kang (Department of Radiology, College of Medicine, Hanyang University) ;
  • Mimi Kim (Department of Radiology, College of Medicine, Hanyang University)
  • 유선진 (한양대학교 의과대학 영상의학교실) ;
  • 이철민 (한양대학교 의과대학 영상의학교실) ;
  • 강보경 (한양대학교 의과대학 영상의학교실) ;
  • 김미미 (한양대학교 의과대학 영상의학교실)
  • Received : 2023.06.01
  • Accepted : 2023.08.26
  • Published : 2024.01.01
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Abstract

Retroperitoneal ectopic pregnancy is a rare form of ectopic pregnancy. Owing to its rarity and nonspecific symptoms, diagnosing retroperitoneal ectopic pregnancy at the initial presentation poses a significant challenge. Typically, the diagnosis relies on non-radiation imaging modalities, such as ultrasonography and MRI, whereas CT is infrequently used. Herein, we report a rare case of a retroperitoneal ectopic pregnancy, which was diagnosed using CT.

후복막 자궁외 임신은 자궁외 임신 중에서도 매우 드물게 발생한다. 후복막 자궁외 임신은 발생률이 낮고 비특이적 증상을 보여 첫 내원 시 진단이 매우 어렵다. 주로 방사선 위험이 없는 초음파, 자기공명영상을 통해 진단이 이루어지며 전산화단층촬영을 촬영하는 경우는 드물다. 우리는 전산화단층촬영을 통하여 진단된 드문 후복강 자궁외 임신 1예를 보고하고자 한다.

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References

  1. Poole A, Haas D, Magann EF. Early abdominal ectopic pregnancies: a systematic review of the literature. Gynecol Obstet Invest 2012;74:249-260
  2. Xu H, Cheng D, Yang Q, Wang D. Multidisciplinary treatment of retroperitoneal ectopic pregnancy: a case report and literature review. BMC Pregnancy Childbirth 2022;22:472
  3. Munzar Z, Afridi KD, Amin F, Habib F. Retroperitoneal ectopic pregnancy presenting as a massive retroperitoneal hematoma. J Coll Physicians Surg Pak 2022;32:415-416
  4. OuYang Z, Wei S, Wu J, Wan Z, Zhang M, Zhong B. Retroperitoneal ectopic pregnancy: a literature review of reported cases. Eur J Obstet Gynecol Reprod Biol 2021;259:113-118
  5. Kao LY, Scheinfeld MH, Chernyak V, Rozenblit AM, Oh S, Dym RJ. Beyond ultrasound: CT and MRI of ectopic pregnancy. AJR Am J Roentgenol 2014;202:904-911
  6. Ren J, Shi J, Zhang G, Wang J. A retroperitoneal perivascular ectopic pregnancy case: diagnosis and possible lymphatic migration. J Minim Invasive Gynecol 2022;29:1203-1207
  7. Levine D. Ectopic pregnancy. Radiology 2007;245:385-397
  8. Nagayama M, Watanabe Y, Okumura A, Amoh Y, Nakashita S, Dodo Y. Fast MR imaging in obstetrics. Radiographics 2002;22:563-580
  9. Huang X, Zhong R, Tan X, Zeng L, Jiang K, Mei S, et al. Conservative management of retroperitoneal ectopic pregnancy by computed tomographic-guided methotrexate injection in the gestational sac: 2 case reports and literature review. J Minim Invasive Gynecol 2019;26:1187-1192