Kigbu J H, Sagay A S, Chingle P M
Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria.
Niger J Clin Pract. 2009 Sep;12(3):324-6.
A case of combined intrauterine and abdominal pregnancies in a 29-year-old primigravida occurring in a natural cycle is presented. She booked for routine antenatal care in the obstetric unit of the hospital. An early scan at 10 weeks showed a twin gestation (diamniotic, dichorionic placentation). She was admitted between 10-21 weeks on account of severe hyperemesis gravidarum and anaemia in pregnancy. She was managed with antiemetics, intravenous fluids and two units of blood transfused before discharge for follow up in the antenatal clinic. Pregnancy was uneventful between 22 weeks to 38 weeks when she had elective Caesarean section on account of twin gestation, primigravida and borderline pelvis. At Caesarean section a combined intrauterine and abdominal pregnancies were found. She was delivered of first twin (intrauterine), a baby boy weighing 2.5 kg with Apgar scores of 8 and 9 in 1 and 5 minutes respectively; second twin (abdominal) a baby boy weighing 2.7 kg with Apgar scores of 8 and 9 at 1 and 5 minutes respectively.
本文报道了一例29岁初产妇自然周期合并宫内妊娠和腹腔妊娠的病例。她在医院产科病房预约了常规产前检查。孕10周时的早期超声检查显示为双胎妊娠（双羊膜囊、双绒毛膜胎盘）。因妊娠剧吐和孕期贫血，她在孕10至21周期间入院。住院期间给予了止吐药、静脉补液治疗，并在出院前输注了两单位血液，以便在产前门诊进行随访。孕22周至38周期间妊娠过程顺利，因双胎妊娠、初产妇及骨盆临界状态，她接受了择期剖宫产。剖宫产时发现合并宫内妊娠和腹腔妊娠。她分娩出第一个胎儿（宫内），为一名男婴，体重2.5 kg，1分钟和5分钟时的阿氏评分分别为8分和9分；第二个胎儿（腹腔）为一名男婴，体重2.7 kg，1分钟和5分钟时的阿氏评分分别为8分和9分。
