Drakou Anastasia, Cosmo Eva, Ehrstedt Cecilia, Claesson Rickard
MSc, ST-läkare, VO kvinnor-barn, Södertälje sjukhus.
överläkare, VO obstetrik och gynekologi, Centralsjukhuset Kristianstad.
Lakartidningen. 2020 May 18;117:FX4E.
An ectopic pregnancy occurs when a blastocyst implants outside the uterus cavity. It is a condition with increased morbidity and mortality for women in reproductive age. Most of the ectopic pregnancies (95.5%) are located in the fallopian tube. We report a case of an ectopic pregnancy that progressed unruptured and with fetus in situ up to 17 gestational weeks. This case is rare, especially in developed countries where patients have access to healthcare. With this case report we would like to emphasize that ectopic pregnancy should be among the differential diagnoses of abdominal pain even in the second trimester of pregnancy but also the importance of an early vaginal ultrasound examination in its diagnosis.
异位妊娠是指胚泡在子宫腔外着床。这是一种育龄期女性发病率和死亡率均有所增加的病症。大多数异位妊娠（95.5%）发生在输卵管。我们报告一例异位妊娠病例，该病例进展至孕17周未破裂且胎儿仍在原位。这种情况很罕见，尤其是在患者能够获得医疗保健服务的发达国家。通过本病例报告，我们想强调，即使在妊娠中期，异位妊娠也应列入腹痛的鉴别诊断范围，同时强调早期经阴道超声检查在其诊断中的重要性。
