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Rare primary abdominal ectopic pregnancy in the pouch of Douglas
  1. Joshua Baji Thomas
  1. Obstetrics and Gynaecology, Kalgoorlie Regional Hospital, Kalgoorlie, Australia
  1. Correspondence to Dr Joshua Baji Thomas, Joshua.Thomas{at}


A 35-year-old Nepalese woman, referred by her general practitioner for per vaginal spotting and abdominal pain for the past 12 days with a background history of 5 weeks of amenorrhoea and a quantifiable beta-human chorionic gonadotrophin of 18 900 IU/L. Subsequent pelvic ultrasound revealed a cystic lesion with peripheral vascularity in the pouch of Douglas indicating possible ectopic pregnancy with no intrauterine gestational sac seen. Subsequent to that, she underwent a diagnostic laparoscopy that revealed 150 mL of blood in the pouch of Douglas with no other obvious evidence of tubal or ovarian ectopic pregnancy seen. There was, however, a resemblance of trophoblastic tissue noted on the wall of the pouch of Douglas that was further investigated to reveal a primary ectopic pregnancy of the pouch of Douglas with no trophoblastic infiltration.

  • Obstetrics And Gynaecology
  • Pregnancy
  • General Practice / Family Medicine
  • Surgery
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  • Contributors JBT conceived of the presented idea to publish this particular case report. JBT gathered, summarised and prepared the case report along with researching current material that may be associated with the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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