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超声诊断腹腔妊娠并经剖腹手术成功治疗:两例报告

Abdominal pregnancy diagnosed by ultrasonography and treated successfully by laparotomy: Two cases report.

作者信息

ELmiski F, Ouafidi B, Elazzouzi E, Elquasseh R, Lamrissi A, Fichtali K, Bouhya S

机构信息

Obstetrics And Gynecology Department, University Hospital Center Ibn Rochd, Casablanca 20100, Morocco.

Obstetrics And Gynecology Department, University Hospital Center Ibn Rochd, Casablanca 20100, Morocco.

出版信息

Int J Surg Case Rep. 2021 Jun;83:105952. doi: 10.1016/j.ijscr.2021.105952. Epub 2021 Apr 30.

Abstract

INTRODUCTION

Abdominal pregnancy is one of the rare types of ectopic pregnancies that has a high rate of mortality. Its clinical presentation is similar to those of the other types of ectopic pregnancies.

CASES PRESENTATION

we report two cases of abdominal pregnancies whose the diagnosis was made by ultra-sonography and successfully treated by laparotomy in emergency obstetrical department of Ibn Rochd University Hospital of Casablanca. CLINICAL DISCUSSION: the ultra-sonography based on precise criteria represents the fundamental paraclinical examination in the diagnosis of abdominal pregnancies. The treatment of early form is based on surgery; And despite the advent of laparoscopic surgery, laparotomy retains its indications including forms with hemorrhagic shock.

CONCLUSION

Due to the high risk of complications and maternal mortality, abdominal pregnancies should be surgically treated as soon as possible when the diagnosis is confirmed.

摘要

引言

腹腔妊娠是罕见的异位妊娠类型之一,死亡率很高。其临床表现与其他类型的异位妊娠相似。

病例报告

我们报告两例腹腔妊娠病例,其诊断通过超声检查做出,并在卡萨布兰卡伊本·鲁西德大学医院急诊产科通过剖腹手术成功治疗。

临床讨论

基于精确标准的超声检查是诊断腹腔妊娠的基本辅助检查。早期病例的治疗以手术为主;尽管腹腔镜手术已出现,但剖腹手术仍有其适应证,包括伴有失血性休克的病例。

结论

由于并发症风险高和孕产妇死亡率高,腹腔妊娠一旦确诊应尽快进行手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e18e/8142248/3ac5ddd920d5/gr1.jpg

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