处理晚期存活的腹部联体双胎妊娠。

Managing a live advanced abdominal twin pregnancy.

作者信息

Mpogoro Fj, Gumodoka B, Kihunrwa A, Massinde An

机构信息

Department of Obstetrics and Gynecology, Catholic University of Health and Allied Sciences-Bugando, Mwanza, Tanzania.

出版信息

Ann Med Health Sci Res. 2013 Jan;3(1):113-5. doi: 10.4103/2141-9248.109472.

DOI:10.4103/2141-9248.109472

PMID:23634344

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3634207/

Abstract

Advanced abdominal pregnancies with live twin fetuses are extremely rare and are misdiagnosed in up to 60% of the cases. Such a case is presented here, highlighting the diagnostic and management challenges encountered. A high index of suspicion in making the diagnosis of this rare variety of ectopic pregnancy, emphasizing adherence to basic imaging principles, and appropriate placental management is very important in reducing the associated morbidity and mortality.

摘要

怀有存活双胎胎儿的晚期腹腔妊娠极为罕见，高达60%的病例会被误诊。本文介绍了这样一个病例，突出了所遇到的诊断和管理挑战。对于诊断这种罕见类型的异位妊娠保持高度怀疑指数、强调遵循基本影像学原则以及进行适当的胎盘管理，对于降低相关的发病率和死亡率非常重要。