Laparoscopic repair of a uteroperitoneal fistula
. JSLS 2003; 7:367-369.
Abdominal pregnancy is a rare subtype of ectopic pregnancy where conceptus is implanted in the peritoneal cavity other than uterus, fallopian tubes, ovaries or uterine ligaments.6 It is subdivided in to two groups based on Studdiford Criteria;7 a) primary abdominal pregnancy characterized by, i) normal fallopian tubes and ovaries with no evidence of recent or past pregnancy, ii) no evidence of uteroperitoneal fistula
, iii) The pregnancy exclusively related to peritoneal surfaces; b) secondary abdominal pregnancy in which there is evidence of tubal rupture or tubal abortion with secondary implantation.
[sup] The criteria for primary abdominal ectopic pregnancy include normal fallopian tubes with no evidence of recent or remote trauma, the absence of any uteroperitoneal fistula
, and the presence of a pregnancy related exclusively to the peritoneal surface and early enough to eliminate the possibility of secondary implantation after a primary nidation within the tube.
(2) Other terms for cesarean scar defect include a niche, isthmocele, uteroperitoneal fistula
, and diverticulum.
The uterine wall was intact, without signs of uteroperitoneal fistula
. Biopsy was taken from the vesical peritoneum and the abdomen was closed with drainage placed in the pouch of Douglas.
Studdiford established three criteria for diagnosing primary peritoneal pregnancies: (1) normal bilateral fallopian tubes and ovaries; (2) the absence of uteroperitoneal fistula
; and (3) a pregnancy related exclusively to the peritoneal surface and early enough to eliminate the possibility of secondary implantation following a primary nidation in the tube.