并存的石胎与活的腹腔异位妊娠。
Coexistent lithopedion and live abdominal ectopic pregnancy.
作者信息
Massinde Anthony Naju, Rumanyika Richard, Im Hyunsoon Beatrice
机构信息
From the Department of Obstetrics and Gynecology, Bugando Medical Center and the Weill-Bugando University College of Health Sciences, Mwanza, Tanzania; and the Department of Obstetrics and Gynecology, Weill-Cornell Medical College, New York, New York.
出版信息
Obstet Gynecol. 2009 Aug;114(2 Pt 2):458-460. doi: 10.1097/AOG.0b013e31819ecc82.
BACKGROUND
Abdominal pregnancy is a rare, life-threatening variant of ectopic pregnancy, and thus its diagnosis and management remain controversial.
CASE
A multigravida was admitted for complaints of abdominal swelling that had been occurring for 2 years and symptoms of pregnancy in the 3 months before admission. Radiologic studies revealed a live intraabdominal pregnancy at 15 weeks of gestation with a concurrent lithopedion of advanced gestation. The patient underwent laparotomy, removing both fetuses; the placenta was left in situ. She was discharged 1 week later in good condition.
CONCLUSION
The case of a concurrent lithopedion of advanced gestation and a live intraabdominal ectopic pregnancy was successfully managed.
背景
腹腔妊娠是一种罕见的、危及生命的异位妊娠变体，因此其诊断和治疗仍存在争议。
病例
一名多产妇因腹部肿胀2年及入院前3个月的妊娠症状入院。影像学检查显示妊娠15周时腹腔内有存活胎儿，同时存在晚期石胎。患者接受了剖腹手术，取出了两个胎儿；胎盘留在原位。1周后患者状况良好出院。
结论
一例晚期石胎合并腹腔内活胎异位妊娠病例得到成功治疗。
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