Guillermo Almenara Irigoyen National Hospital, Lima, Peru.
Department of Internal Medicine, Guillermo Almenara Irigoyen National Hospital, Lima, Peru.
Medwave. 2023 Jan 25;23(1):e2647. doi: 10.5867/medwave.2023.01.2647.
Abdominal pregnancy is defined as one that occurs outside of the uterus and fallopian tubes in the abdominal cavity. We present the case of a 30-year-old Peruvian female patient from Lima with a surgical history of exploratory laparotomy due to tubal ectopic pregnancy and appendectomy without further relevant personal or family histories. She attended the emergency room of a social security hospital in Peru with a referral from a district hospital and a diagnosis of abdominal pregnancy at 14 weeks of gestational age without previous prenatal controls. Symptomatology at hospital admission was colic-type abdominal pain in the hypogastrium without vaginal bleeding, fluid loss or fever. During hospitalization, she underwent an exploratory laparotomy with embolization of the uterine artery, left salpingectomy, and removal of the abdominal ectopic pregnancy. The evolution was favorable after the surgery, and she was discharged. Without further complications, she continues her controls at the obstetrics and gynecology outpatient service without complications.
腹腔妊娠是指发生在子宫和输卵管以外的腹腔内的妊娠。我们报告一例 30 岁秘鲁女性患者,来自利马,有剖腹探查术的手术史,原因是输卵管异位妊娠和阑尾切除术,无其他相关个人或家族病史。她因下腹绞痛型腹痛就诊于秘鲁一家社会保障医院的急诊室,此前曾在一家地区医院就诊,并被诊断为 14 孕周的腹腔妊娠,此前没有产前检查。入院时的症状为无阴道出血、液体丢失或发热的下腹绞痛。住院期间,她接受了剖腹探查术,子宫动脉栓塞术、左侧输卵管切除术和腹腔异位妊娠切除术。手术后病情好转,她出院了。没有进一步的并发症,她继续在妇产科门诊进行检查,没有并发症。