Bohiltea R, Radoi V, Tufan C, Horhoianu I A, Bohiltea C
Obstetrics and Gynecology Department, University Emergency Hospital Bucharest, Romania "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
"Carol Davila" University of Medicine and Pharmacy Bucharest, Romania.
J Med Life. 2015 Jan-Mar;8(1):49-54.
Abdominal pregnancy, a rare diagnosis, belongs to the ectopic pregnancy group, the leading cause of pregnancy related exitus. The positive diagnosis is very difficult to establish most often in an acute setting, leading to a staggering percent of feto-maternal morbidity and mortality.
We present the case of 26-weeks-old abdominal pregnancy with partial feto-placental detachment in a patient, after hysteroscopy and in vitro fertilization, which until the acute symptoms that led to emergency laparotomy went unrecognized. The patient recovered completely and satisfactorily after surgery and, due to the high risk of uterine rupture with regard to a second pregnancy, opted for a surrogate mother.
Abdominal pregnancy can be regarded as a difficult to establish diagnosis, with a greater chance in case of increased awareness. It is compulsory to be well informed in order not to be surprised by the diagnosis and to apply the correct treatment immediately as the morbidity and mortality rate is elevated.
腹腔妊娠是一种罕见的诊断，属于异位妊娠组，是妊娠相关死亡的主要原因。在急性情况下，通常很难做出阳性诊断，导致母婴发病率和死亡率高得惊人。
我们报告一例26周龄腹腔妊娠患者，该患者在宫腔镜检查和体外受精后出现部分胎儿-胎盘剥离，直到出现导致急诊剖腹手术的急性症状才被发现。患者术后完全康复且情况良好，由于再次怀孕子宫破裂风险高，选择了代孕。
腹腔妊娠可被视为一种难以确诊的疾病，提高认识时诊断的可能性更大。必须充分了解情况，以免对诊断感到意外，并在发病率和死亡率升高时立即采取正确的治疗措施。
