Cachón López O R, Gasque López F, Peniche Rodríguez R, Avila Vergara M A
Ginecol Obstet Mex. 1989 Mar;57:73-5.
This is a case of abdominal pregnancy in an 18 year old woman. It has been diagnosed as a 30.4 weeks gestation abdominal pregnancy by clinical antecedents and findings supported by VSG and roentgenography. Conservative management for a period of two weeks with continual fetal monitoring and a series of maternal hemoglobin levels as well as induction of lung fetal maturation, were carried out. Exploratory laparatomy was done at 32.4 weeks of gestation; a living masculine product was found, weighing 1,100 g and Apgar of 8-9. The placenta was situated on the surface of the anterior leaf of the broad ligament, proximal round ligament portion, and proximal tubal portion on the right side. Removal of the placenta was made and right salpingectomy. Evolution was satisfactory of both mother and newborn. Mother was healthy and was discharged from hospital 3 days after. Newborn at 40 days from birth was healthy and weighing 2,000 g. Although most authors recommend surgical treatment for these cases, this case was treated conservatively as we consider the following to be good prognostic factors: age of the patient, general condition, position of placenta, state of fetal membranes, antecedents of partial detachment of placenta during pregnancy.
这是一例18岁女性腹腔妊娠的病例。通过临床病史、VSG和X线检查结果，已诊断为妊娠30.4周的腹腔妊娠。进行了为期两周的保守治疗，持续监测胎儿情况、检测一系列母体血红蛋白水平，并诱导胎儿肺成熟。在妊娠32.4周时进行了剖腹探查；发现一个存活的男性胎儿，体重1100克，阿氏评分8 - 9分。胎盘位于阔韧带前叶表面、右侧圆韧带近端部分和输卵管近端部分。进行了胎盘切除术和右侧输卵管切除术。母亲和新生儿的情况均进展顺利。母亲身体健康，术后3天出院。新生儿出生40天时健康，体重2000克。尽管大多数作者建议对这些病例进行手术治疗，但该病例采用了保守治疗，因为我们认为以下因素是良好的预后因素：患者年龄、一般状况、胎盘位置、胎膜状态、孕期胎盘部分剥离史。
