Catani M, De Milito R, Picconi T, Rattà G, Manzi P, Abati G, Rengo M
VII Patologia Chirurgica, Università degli Studi di Roma La Sapienza.
Minerva Chir. 1999 Jul-Aug;54(7-8):505-7.
A rare case of intestinal occlusion due to primary abdominal pregnancy is described. Laparoscopy revealed normal appendix and bowel obstruction by adhesion between the last ileal loop and cecum. The adhesion started from a neoformation (diameter 2 cm) localised on the mesenteric side of the ileum, about 30 cm from the ileocecal valve. A resection of the adhesion and dissection of the neoformation were performed. Laparoscopic procedures lasted 30 minutes. Histologic examination of the specimen revealed to be an ectopic pregnancy. The laparoscopic technique permitted to verify the diagnosis and perform the treatment of the abdominal pregnancy in absolute conditions of safety, maintaining the fertility of the patient (actually she is presenting a regular pregnancy).
本文描述了一例因原发性腹腔妊娠导致肠梗阻的罕见病例。腹腔镜检查显示阑尾正常，末段回肠袢与盲肠之间的粘连导致肠梗阻。粘连起始于距回盲瓣约30 cm处回肠系膜侧的一个新生物（直径2 cm）。对粘连进行了切除，并对新生物进行了剥离。腹腔镜手术持续了30分钟。标本的组织学检查显示为异位妊娠。腹腔镜技术能够在绝对安全的条件下确诊并治疗腹腔妊娠，同时保留了患者的生育能力（实际上她目前正处于正常妊娠状态）。
