Shin J S, Moon Y J, Kim S R, Kim K T, Moon H, Hwang Y Y
Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea.
J Korean Med Sci. 2000 Jun;15(3):359-62. doi: 10.3346/jkms.2000.15.3.359.
Peritoneal pregnancies are classified as primary and secondary. Primary implantation on the peritoneum is extremely rare in extrauterine pregnancy and is a potentially life-threatening variation of ectopic pregnancy within the peritoneal cavity, representing a grave risk to maternal health. Secondary abdominal pregnancies are by far the most common and result from tubal abortion or rupture, or less often, after uterine rupture with subsequent implantation within abdomen. Early diagnosis and appropriate surgical management, regardless of stage of gestation, appear to be important in achieving good results. We report a case of primary peritoneal pregnancy in a 28-year-old woman, who had severe lower abdominal pain one day before laparotomy for a preoperative diagnosis of ectopic pregnancy. The conceptus was implanted on the left uterosacral ligament. A fresh embryo of approximately 8 weeks' gestation was found in the conceptus.
腹腔妊娠分为原发性和继发性。原发性腹腔妊娠在宫外孕中极为罕见，是腹腔内宫外孕的一种潜在危及生命的变异类型，对母体健康构成严重风险。继发性腹腔妊娠是迄今为止最常见的类型，由输卵管流产或破裂引起，较少见的是子宫破裂后胚胎在腹腔内着床。无论妊娠阶段如何，早期诊断和适当的手术处理对于取得良好疗效似乎都很重要。我们报告一例28岁女性原发性腹腔妊娠病例，该患者在因术前诊断为宫外孕而进行剖腹手术前一天出现严重下腹痛。孕卵着床于左侧子宫骶韧带。在孕卵内发现一个约8周妊娠的新鲜胚胎。
