资源匮乏地区晚期腹腔妊娠诊断与管理面临的挑战：一例病例报告
The challenge in the diagnosis and management of an advanced abdominal pregnancy in a resource-low setting: a case report.
作者信息
Tolefac Paul N, Abanda Martin H, Minkande Jacqueline Ze, Priso Eugene Belley
机构信息
Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon.
Service of Obstetrics and Gynaecology, Douala General Hospital, Douala, Cameroon.
出版信息
J Med Case Rep. 2017 Jul 24;11(1):199. doi: 10.1186/s13256-017-1369-1.
BACKGROUND
Abdominal pregnancy is a rare form of ectopic pregnancy that is frequently left undiagnosed by inexperienced obstetricians and radiologists. It is associated with higher risk of maternal hemorrhage at any gestation and more at advanced gestation.
CASE PRESENTATION
We present the case of a 22-year-old sub-Saharan African woman, gravida 3 para 0, who was diagnosed with advanced abdominal pregnancy of 25 weeks' gestation by a transvaginal ultrasound after the failure of two medical terminations of pregnancy in the first and second trimesters and a series of repeated obstetric ultrasounds showing intrauterine pregnancy. Laparotomy was done and her recovery was uneventful.
CONCLUSIONS
The management of advanced abdominal pregnancy is more challenging as compared to earlier gestation so patients with failed medical termination of pregnancy should be critically analyzed for ectopic pregnancy as early as possible.
背景
腹腔妊娠是一种罕见的异位妊娠形式，经验不足的产科医生和放射科医生常常无法诊断出来。在任何孕周，尤其是孕晚期，腹腔妊娠都与产妇出血的较高风险相关。
病例报告
我们报告一例22岁撒哈拉以南非洲妇女的病例，该妇女孕3产0，在孕早期和孕中期两次药物流产失败，且一系列重复的产科超声均显示为宫内妊娠后，经阴道超声诊断为孕25周晚期腹腔妊娠。进行了剖腹手术，她恢复顺利。
结论
与早期妊娠相比，晚期腹腔妊娠的处理更具挑战性，因此对于药物流产失败的患者，应尽早对异位妊娠进行严格分析。
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