Deng Mei-Xiang, Zou Yu
Department of Radiology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Medicine (Baltimore). 2017 Dec;96(48):e8986. doi: 10.1097/MD.0000000000008986.
A 33-week abdominal pregnancy is an extremely rare type of ectopic pregnancy that is potentially life-threatening for the mother and fetus. Reports of using magnetic resonance imaging (MRI) in the third-trimester abdominal pregnancy are very few.
A 24-year-old woman (gravida 2, para 1, living 0) at 33 weeks' gestation presented to local hospital complaining of vaginal bleeding for 2 months and lower abdominal pain for 2 days. Then, the woman was transferred to our hospital for suspected abdominal pregnancy, which was confirmed at our hospital on ultrasonography and further evaluated in detail on MRI.
The woman was diagnosed as having abdominal pregnancy.
The woman was managed surgically, the unviable fetus was removed, and the placenta was left in situ. Then, the woman was managed with fluids, blood transfusion, antibiotics, and systemic methotrexate after surgery.
At 42 days postoperatively, the affected woman was discharged in a good condition.
By using MRI, we can accurately diagnose an abdominal pregnancy. MRI provides more details than ultrasonography, and explains the possible mechanism of abdominal pregnancy. We advocate using MRI to help surgical planning and improve outcome in cases of abdominal pregnancy.
孕33周的腹腔妊娠是一种极其罕见的异位妊娠类型，对母亲和胎儿都有潜在的生命威胁。关于在孕晚期腹腔妊娠中使用磁共振成像（MRI）的报道非常少。
一名24岁女性（孕2产1，现存子女0），孕33周，因阴道流血2个月、下腹痛2天就诊于当地医院。随后，该女性因疑似腹腔妊娠被转至我院，我院超声检查确诊，并通过MRI进行了详细评估。
该女性被诊断为腹腔妊娠。
对该女性进行了手术治疗，取出了无法存活的胎儿，胎盘保留原位。术后，该女性接受了补液、输血、抗生素及全身甲氨蝶呤治疗。
术后42天，该女性康复出院。
通过使用MRI，我们可以准确诊断腹腔妊娠。MRI比超声检查提供更多细节，并解释了腹腔妊娠的可能机制。我们主张使用MRI来辅助手术规划并改善腹腔妊娠病例的治疗效果。
