Stremick Justine K, Couperus Kyle, Ashworth Simeon W
Fort Belvoir Community Hospital, Department of Emergency Medicine, Fort Belvoir, Virginia.
Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington.
Clin Pract Cases Emerg Med. 2019 Jan 29;3(1):62-64. doi: 10.5811/cpcem.2019.1.40860. eCollection 2019 Feb.
Tubal ectopic pregnancies are commonly diagnosed during the first trimester. Here we present a second-trimester tubal ectopic pregnancy that was previously misdiagnosed as an intrauterine pregnancy on a first-trimester ultrasound. A 39-year-old gravida 1 para 0 woman at 15 weeks gestation presented with 10 days of progressive, severe abdominal pain, along with vaginal bleeding and intermittent vomiting for two months. She was ultimately found to have a ruptured left tubal ectopic pregnancy. Second-trimester ectopic pregnancies carry a significant maternal mortality risk. Even with the use of ultrasound, they are difficult to diagnose and present unique diagnostic challenges.
输卵管异位妊娠通常在孕早期被诊断出来。在此，我们报告一例孕中期输卵管异位妊娠病例，该病例在孕早期超声检查时曾被误诊为宫内妊娠。一名39岁、孕1产0、妊娠15周的女性，出现进行性严重腹痛10天，伴有阴道出血和间歇性呕吐2个月。最终发现她是左侧输卵管异位妊娠破裂。孕中期异位妊娠具有显著的孕产妇死亡风险。即使使用超声检查，它们也难以诊断，并且存在独特的诊断挑战。
