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Case Reports in Surgery
Volume 2017, Article ID 9871865, 4 pages
https://doi.org/10.1155/2017/9871865
Case Report

Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges

1Department of Obstetrics and Gynecology, National Center for Reproductive Health Ibn Sina, University Mohammed V Rabat, 1 Rue Soekarno, Rabat, Morocco
2Department of Visceral Surgery C, Ibn Sina Public Hospital, University Mohammed V Rabat, Rabat, Morocco
3Department of Radiology, Ibn Sina Public Hospital, University Mohammed V Rabat, Rabat, Morocco

Correspondence should be addressed to Salma Ouassour; am.ten.s5mu@ruossauo.amlas

Received 10 June 2017; Accepted 1 October 2017; Published 22 October 2017

Academic Editor: Stefano Angioni

Copyright © 2017 Salma Ouassour et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Retroperitoneal ectopic pregnancy is extremely rare. This unusual location represents a great challenge for clinicians due to the difficulties of diagnosis and high risk of life-threatening complications. Case Report. We report the case of a spontaneous early pregnancy of undetermined location in a patient with a history of previous laparoscopic surgery. Diagnosis steps using clinical examination, ultrasound, and magnetic resonance imaging led to the localization of the pregnancy, in the left side of the para-aortic region, in the retroperitoneal space. Conclusion. Retroperitoneal ectopic pregnancy is an uncommon entity with rather complex pathogenesis. Clinicians should carefully interpret clinical signs, biological findings, and imaging features and be aware of unusual locations such as the retroperitoneum for ectopic pregnancies. Early diagnosis and appropriate management strategy are conditio sine qua non for successful treatment outcomes.