Clinical Presentation and Management of Omental Ectopic Pregnancy in a 23-Year-Old Patient: Integrative Case Study and Literature Review.

We describe the case of a 23-year-old patient presenting with suspected ectopic pregnancy, evidenced by rising beta-hCG levels (5000 mIU/mL on March 9 and 8027 mIU/mL on March 10) and concomitant symptoms. Transvaginal ultrasound revealed a uterus with a secretory endometrium and a likely gestational pseudocavity, along with a corpuscular periuterine effusion and an abnormality adjacent to the left ovary, initially interpreted as a possible dilated fallopian tube. During laparoscopic surgery, an omental mass approximately 4 cm in diameter, suspected to represent an abdominal ectopic pregnancy, was identified. This suspicion was confirmed by intraoperative assessment, surgical consultation, and histological analysis. The lesion was excised using a minimally invasive technique, resulting in a favorable postoperative course and a progressive reduction of beta-hCG levels (3504 mIU/mL on the first postoperative day until complete normalization on Day 10).