腹腔异位妊娠合并大肠损伤：一例报告
Abdominal ectopic pregnancy complicated with a large bowel injury: a case report.
作者信息
Fessehaye Abraham, Gashawbeza Biruck, Daba Mekdes, Arusi Muhudin, Terefe Tsega
机构信息
Department of Obstetrics and Gynecology, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
出版信息
J Med Case Rep. 2021 Mar 22;15(1):127. doi: 10.1186/s13256-021-02713-9.
BACKGROUND
Abdominal pregnancy accounts for 0.6 to 4% of all ectopic pregnancies. Due to delays in diagnosis and difficulties in the management of abdominal pregnancy, the risk of mortality is significantly higher than for uncomplicated ectopic pregnancies. A 23 years-old gravida-II, ectopic-I Ethiopian woman was initially managed as a case of missed second trimester abortion. Later on, abdominal ectopic pregnancy was diagnosed with ultrasound and she underwent a laparotomy. Though fetus and placenta was removed successfully without significant hemorrhage, there was inadvertent sigmoid colon injury.
CONCLUSION
In the management of abdominal ectopic pregnancy, the possibility of bowel injury during entry to the abdominal cavity at laparotomy should always be considered and an experienced general surgeon should always be in attendance before opening the abdomen, to prevent it from happening.
背景
腹腔妊娠占所有异位妊娠的0.6%至4%。由于腹腔妊娠诊断延迟且处理困难，其死亡风险显著高于单纯性异位妊娠。一名23岁、孕2产1的埃塞俄比亚女性最初被当作孕中期稽留流产处理。后来经超声诊断为腹腔异位妊娠，并接受了剖腹手术。虽然胎儿和胎盘成功取出且无明显出血，但术中意外损伤了乙状结肠。
结论
在处理腹腔异位妊娠时，剖腹手术进入腹腔时应始终考虑到肠道损伤的可能性，并且在打开腹腔前应有经验丰富的普通外科医生在场，以防止此类情况发生。
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