Siati Abderrahim, Berrada Taher, Baidada Aziz, Kharbach Aicha
Department of Gynecology and Obstetrics, Souissi Maternity, Ibn Sina University Teaching Hospital, Mohamed V University, Rabat, Morocco.
Pan Afr Med J. 2019 Sep 16;34:35. doi: 10.11604/pamj.2019.34.35.20169. eCollection 2019.
Abdominal pregnancy is a rare form of ectopic pregnancy with very high morbidity and mortality for both the mother and the fetus. Diagnosis and management can pose some difficulties especially in low-resource centers. We report a case of abdominal pregnancy with a healthy newborn. A 34-year-old Moroccan woman, G4P3 (3 alive children), presented with shortness of breath and progressive abdominal distension and pain at 37 weeks' gestation. An emergency laparotomy was performed with the impression of abdominal pregnancy. Intraoperatively, the fetus was seen in an intact amniotic sac in her abdomen, the placenta was strongly adhered to the fundus and enveloped the left adnexa. A total hysterectomy with a left adnexectomy was performed. The patient and neonate progressed well and were discharged. Term abdominal pregnancy is an extremely rare diagnosis. The life-threatening complication is bleeding from the detached placental site. High index of suspicion is vital in making prompt diagnosis in such situations.
腹腔妊娠是一种罕见的异位妊娠形式，对母亲和胎儿的发病率和死亡率都非常高。诊断和处理可能会带来一些困难，尤其是在资源匮乏的医疗中心。我们报告一例腹腔妊娠并产下健康新生儿的病例。一名34岁的摩洛哥妇女，孕4产3（3个存活子女），在妊娠37周时出现呼吸急促、进行性腹胀和腹痛。因考虑腹腔妊娠而行急诊剖腹手术。术中见胎儿位于其腹腔内完整的羊膜囊内，胎盘与子宫底部紧密粘连并包裹左侧附件。行全子宫切除术及左侧附件切除术。患者和新生儿恢复良好并出院。足月腹腔妊娠是一种极其罕见的诊断。危及生命的并发症是胎盘剥离部位出血。在这种情况下，高度的怀疑指数对于及时诊断至关重要。
