@article{oai:hama-med.repo.nii.ac.jp:00003716,
 author = {加藤, 貴史 and 土井, 貴之 and 望月, 琴美 and 井上, 結貴 and 松木, 翔太郎 and 柏木, 唯衣},
 issue = {1},
 journal = {静岡産科婦人科学会雑誌},
 month = {Apr},
 note = {腹膜妊娠は異所性妊娠の中で1%以下の頻度で非常に稀である。経腟超音波所見からは、左卵管妊娠と考えうる症例であったが、試験腹腔鏡でダグラス窩腹膜妊娠と診断し得た症例を経験した。症例は24才0妊。前医より異所性妊娠の疑いで紹介された。左付属器領域に胎芽を含んだ胎嚢を認め、左卵管妊娠の診断で試験腹腔鏡を行った。腹腔内所見では両側付属器は正常で、ダグラス窩に2cmの暗赤色の腫瘤を認めた。腫瘤を摘出したところ、肉眼的に絨毛を認め、ダグラス窩腹膜妊娠と診断した。
腹腔鏡下手術は腹膜妊娠の診断・治療に有用である。, Probability of peritoneal pregnancies in ectopic pregnancies are less than 1%, thus the peritoneal pregnancies could be classified as a very rare case. Although transvaginal ultrasonographic findings suggested a left tubal pregnancy, we performed diagnostic laparoscopy and successfully diagnosed the present case as a peritoneal pregnancy in the pouch of Douglas.
On suspicion of the ectopic pregnancy, a 24-year-old female was referred to our hospital by a previous doctor.
Since a gestational sac, which includes an embryo, was recognized in the near region of left uterine adnexal, a test laparoscopy was performed due to a diagnosis of a left fallopian tube pregnancy.
From the intraperitoneal findings, the adnexa were normal but a dark brown tumor in size of 2cm was recognized. The tumor was removed then villi was macroscopically observed, thus it was diagnosed as a Douglas fossa peritoneal pregnancy. In conclusion, the laparoscopic surgery can be concluded as a useful technique for diagnosis and treatment of peritoneal pregnancy.},
 pages = {9--14},
 title = {卵管妊娠との鑑別が困難であったダグラス窩腹膜妊娠の1例},
 volume = {10},
 year = {2021}
}