{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:43:04Z","timestamp":1756381384906,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,19]]},"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2018-228547","type":"journal-article","created":{"date-parts":[[2019,6,22]],"date-time":"2019-06-22T13:35:12Z","timestamp":1561210512000},"page":"e228547","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Rare primary abdominal ectopic pregnancy in the pouch of Douglas"],"prefix":"10.1136","volume":"12","author":[{"given":"Joshua Baji","family":"Thomas","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Kalgoorlie Regional Hospital, Kalgoorlie, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,6,22]]},"reference":[{"key":"2025082804133948000_12.6.e228547.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02587-5"},{"key":"2025082804133948000_12.6.e228547.2","unstructured":"Australian Institute of Health and Welfare. Maternal deaths in Australia, 2016."},{"key":"2025082804133948000_12.6.e228547.3","unstructured":"Edmonds D , Kjurovic D . Etopic pregnancy. In: Edmonds DK , ed. Dewhurst\u2019s textbook of obstetrics and gynaecology. 7th\u00a0edn. Massachussets: Blackwell Publishing, 2007:106\u201316."},{"key":"2025082804133948000_12.6.e228547.4","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/17.12.3224"},{"key":"2025082804133948000_12.6.e228547.5","doi-asserted-by":"publisher","DOI":"10.1080\/01443610410001643489"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228547","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:13:50Z","timestamp":1756379630000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228547"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":5,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2019,6,22]]},"published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1136\/bcr-2018-228547"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228547","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,6]]}}}