Successful laparoscopic treatment of a rare case of omental pregnancy

A 26-year-old woman at 7 weeks and 4 days of gestation presented with atypical vaginal bleeding mild abdominal pain. Transvaginal ultrasound revealed a free hypoechoic area 10 mm in the pouch Douglas 13-mm thick homogenous endometrium no evidence gestational sac. mass (46 × 38 mm) was detected outside uterine fundus. T1-weighted MRI performed, revealing 4-cm between left side fundus ovary. Laboratory results indicated normal blood count values human chorionic gonadotropin (hCG) level 4,393 mIU/ml. Because we suspected an ectopic pregnancy, performed laparoscopic exploration. An omental cm from fallopian tube. We partial omentectomy using approach to remove mass. Pathological examination confirmed diagnosis pregnancy presence villi, clots, adipose tissue. Post-operatively, patient decreased serum hCG levels surgery-related complications. can use laparoscopy successfully treat pregnancies, including rare cases pregnancy.