ArticleFrontiers in medicine2026
Case Report: Laparoscopic management of a primary omental pregnancy concealed beneath the bowel.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Primary omental pregnancy is an extremely rare form of ectopic pregnancy. We report a case of successful laparoscopic management in a 19-year-old nulliparous woman with no traditional risk factors. Despite sonographic evaluation, including transvaginal, transabdominal, and multi-organ abdominal ultrasonography, the ectopic lesion was not identified preoperatively. Diagnostic laparoscopy was performed, but initial pelvic exploration was also negative. Only after lifting the bowel was a 2 cm omental pregnancy discovered, concealed beneath the bowel, and completely excised. Postoperatively, serum beta-human chorionic gonadotropin (β-hCG) declined by 70.3% on day 1 and 95.3% on day 4 without methotrexate use. This case underscores two points: first, systematic laparoscopic exploration beyond the pelvis is essential when initial inspection is negative; second, the absence of traditional risk factors does not exclude rare-site ectopic implantation.
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