Goldman G A, Dicker D, Ovadia J
Department of Obstetrics-Gynecology, Golda Meir Medical Center (Hasharon Hospital), Petah Tikva, Israel.
Eur J Obstet Gynecol Reprod Biol. 1988 Feb;27(2):139-43. doi: 10.1016/0028-2243(88)90007-x.
Primary abdominal pregnancy is a very rare condition, accompanied by high rates of perinatal and maternal mortality. The etiology of this condition is not clear; nevertheless several theories have been proposed. We have reported three cases in whom the etiological factors may have been the presence of an IUD, and patches of endometriosis adjacent to the site of the pregnancy in two cases. It is suggested that in cases suspected of ectopic pregnancy, in the presence of IUD or other pelvic pathology, it should first be determined whether it is the dangerous condition of abdominal pregnancy, in view of the high mortality rates.
原发性腹腔妊娠是一种非常罕见的情况，伴有很高的围产期和孕产妇死亡率。这种情况的病因尚不清楚；然而，已经提出了几种理论。我们报告了三例病例，其中两例的病因可能是宫内节育器的存在以及妊娠部位附近的子宫内膜异位病灶。鉴于高死亡率，建议在怀疑异位妊娠且存在宫内节育器或其他盆腔病变的情况下，首先确定是否为腹腔妊娠这种危险情况。
