晚期子宫破裂导致的晚期腹腔妊娠。
Advanced abdominal pregnancy resulting from late uterine rupture.
作者信息
Naim Norzilawati M, Ahmad Shuhaila, Siraj Harlina H, Ng Paul, Mahdy Zaleha A, Razi Zainul Rashid M
机构信息
Department of Obstetrics and Gynaecology, Faculty of Medicine, National University of Malaysia, Hospital UKM, Kuala Lumpur, Malaysia.
出版信息
Obstet Gynecol. 2008 Feb;111(2 Pt 2):502-4. doi: 10.1097/01.AOG.0000279451.51446.c1.
BACKGROUND
Advanced abdominal pregnancy is rare, and one that occurs after uterine rupture with delivery of a viable fetus is exceptional.
CASE
A multiparous patient was admitted at 29 weeks of gestation for conservative management of placenta previa. She complained of intermittent abdominal pain, but repeated assessment suggested that both the patient and the fetus were doing well. At 36 weeks, an abdominal pregnancy was diagnosed with radiological features suggestive of uterine rupture. Laparotomy was performed and a healthy infant was delivered.
CONCLUSION
Fetal viability was achieved in this case of abdominal pregnancy secondary to uterine rupture after close maternal and fetal surveillance.
背景
晚期腹腔妊娠罕见，而在子宫破裂后娩出存活胎儿的情况则更为特殊。
病例
一名经产妇在妊娠29周时因前置胎盘接受保守治疗入院。她主诉间歇性腹痛，但反复评估显示患者和胎儿情况良好。36周时，经影像学检查诊断为腹腔妊娠，提示子宫破裂。遂行剖腹手术，娩出一名健康婴儿。
结论
在对母胎进行密切监测后，该例因子宫破裂继发的腹腔妊娠成功实现了胎儿存活。
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