Márquez Becerra M A, Toro Calzada R J, Puello Camara J J
División de Ginecología y Obstetricia, Hospital General Tacuba, ISSSTE, México, D.F.
Ginecol Obstet Mex. 1991 Feb;59:59-62.
Concept, classification, frequency and predominant factors of abdominal pregnancy, were reviewed. The case of a patient 32 years old, from Hospital General Tacuba, ISSSTE; with a history of secondary sterility of seven years duration, win an abdominal pregnancy with symptomatology mainly digestive; she was under hypovolemic shock, acute abdomen, but with an ultrasonographic study showing intrauterine pregnancy and a tumor in right iliac fossa, which confounded the preoperative diagnosis. Exploratory laparotomy, was done. An alive product was found 14 to 16 years old, and living the placenta in situ. Evolutions was favorable. In the final comment the clinical picture, the diagnostic media, the management possibilities for the placenta and hemorrhage, are mentioned.
本文回顾了腹腔妊娠的概念、分类、发生率及主要相关因素。一名来自墨西哥社会保障局（ISSSTE）塔古巴总医院的32岁患者，有7年继发性不孕史，此次发生腹腔妊娠，主要表现为消化系统症状；她处于低血容量性休克、急腹症状态，但超声检查显示为宫内妊娠且右髂窝有一个肿物，这使得术前诊断混淆。遂进行了剖腹探查术。发现一个存活的14至16周龄胎儿，胎盘仍附着于原位。病情进展顺利。在最后的讨论中，提及了临床表现、诊断方法、胎盘及出血的处理方式。
