Puch-Ceballos Eduardo Erik, Vázquez-Castro Rosbel, Osorio-Pérez Ana Isabel, Ramos-Ayala Montserrat, Villarreal-Sosa Conrado Otoniel, Ruvalcaba-Rivera Everardo
Ginecol Obstet Mex. 2015 Jul;83(7):454-60.
Abdominal ectopic pregnancy is an extremely rare entity, which represents 1% of all ectopic pregnancies and is associated with high maternal and fetal morbidity and mortality. The maternal mortality risk of an abdominal ectopic pregnancy is seven to eight times greater than the risk of a tubal ectopic pregnancy and is 90 times greater than the risk of intrauterine pregnancy. This is a disease of difficult diagnosis that often takes place late. We report the case of a patient with an abdominal ectopic pregnancy, which was diagnosed by abdominal ultrasound in the second trimester; the patient was suc- cessfully treated with exploratory laparotomy with complete removal of the fetus and placenta. We provide a review of the literature on the risk factors for abdominal ectopic pregnancy, diagnostic tests and therapeutic options.
腹腔异位妊娠是一种极其罕见的情况,占所有异位妊娠的1%,并伴有较高的母婴发病率和死亡率。腹腔异位妊娠的孕产妇死亡风险比输卵管异位妊娠的风险高7至8倍,比宫内妊娠的风险高90倍。这是一种诊断困难且常常发现较晚的疾病。我们报告一例腹腔异位妊娠患者,在孕中期通过腹部超声诊断;患者接受了剖腹探查术,成功切除胎儿和胎盘。我们对腹腔异位妊娠的危险因素、诊断检查和治疗选择的文献进行了综述。