Martelli Federica, De Carolis Caterina, Parisi Carmelo, Piccione Emilio
Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.
Case Rep Obstet Gynecol. 2013;2013:207307. doi: 10.1155/2013/207307. Epub 2013 Jun 2.
The following case report describes a rare case of omental pregnancy in a fertile 34-year-old woman at 5 + 3 weeks of gestation who presented with abdominal pain. Clinical examination, vital signs, and laboratory values were within normal limits, so the woman was hospitalized and monitored. Laparoscopic exploration was performed according to the preoperative diagnosis of tubal pregnancy, but it showed normal pelvic organs. In view of the growth of the β-HCG value, a medical approach was attempted, without success. Due to hemodynamic instability, an emergency laparotomy was performed, and it showed an omental pregnancy, confirmed at the pathological examination.
以下病例报告描述了一名34岁可育女性的罕见网膜妊娠病例，该女性在妊娠5+3周时出现腹痛。临床检查、生命体征和实验室检查值均在正常范围内，因此该女性住院并接受监测。根据术前输卵管妊娠的诊断进行了腹腔镜探查，但结果显示盆腔器官正常。鉴于β-HCG值的升高，尝试了药物治疗，但未成功。由于血流动力学不稳定，进行了急诊剖腹手术，术中发现为网膜妊娠，病理检查予以证实。
