Koltai Tamás, Bacskó György
Szülészeti-Nőgyógyászati Osztály, Kenézy Gyula Kórház és Rendelőintézet Debrecen.
Orv Hetil. 2017 Apr;158(13):508-511. doi: 10.1556/650.2017.30677.
Advanced abdominal pregnancy is extremely rare. Symptoms are often nonspecific, and the diagnosis is frequently missed. Maternal mortality and morbidity are also very high especially if the condition is not diagnosed and managed properly. In abdominal pregnancy there is a high incidence of fetal malformations. We are presenting a case of a 38 year old primigravida with an undiagnosed advanced abdominal pregnancy carried beyond 36 weeks of gestation. We delivered a 2090 g baby from the abdomen. A relaparotomy was necessary on the third postoperative day because of abdominal bleeding. At the time of discharge both mother and baby were doing well. The publication also provides a literature overview, including definition, epidemiology, diagnosis and therapy. Orv. Hetil., 2017, 158(13), 508-511.
晚期腹腔妊娠极为罕见。症状往往不具特异性，诊断常常被漏诊。孕产妇死亡率和发病率也非常高，尤其是在病情未得到正确诊断和处理的情况下。腹腔妊娠时胎儿畸形的发生率很高。我们报告一例38岁初产妇，其晚期腹腔妊娠未被诊断，妊娠超过36周。我们经腹部娩出一名体重2090克的婴儿。术后第三天因腹腔出血进行了再次剖腹手术。出院时母婴情况良好。该文献还提供了文献综述，包括定义、流行病学、诊断和治疗。《匈牙利医学周报》，2017年，158(13)，508 - 511。
