Legesse Tesfaye Kebede, Ayana Birhanu Abera, Issa Semira Abrar
Department of Radiology, Addis Ababa University, College of Health Science, Addis Ababa, Ethiopia.
Department of Obstetrics and Gynecology, Addis Ababa University, College of Health Science, Addis Ababa, Ethiopia.
Int Med Case Rep J. 2023 Mar 15;16:173-178. doi: 10.2147/IMCRJ.S403180. eCollection 2023.
Abdominal pregnancy refers to a rare form of ectopic pregnancy that has been implanted in the peritoneal cavity. Clinical suspicion combined with ultrasound is important for early diagnosis. A surviving fetus from an abdominal pregnancy is extremely rare.
Herein we report on a case of advanced abdominal pregnancy in a Gravida-III Abortion-II mother who presented with worsening abdominal pain of 1 week duration associated with fetal movement and managed successfully with an outcome of a live neonate and no maternal complication.
A live neonate from term abdominal pregnancy is a rare occurrence. Early diagnosis of abdominal pregnancy is crucial to avoid potentially catastrophic maternal complications even though our patient, fortunately, has a smooth postoperative course. A high level of suspicion combined with ultrasound is helpful in reaching a diagnosis. Skill advancement for radiologists and non-radiology professionals involved in obstetric ultrasound is recommended to avoid misdiagnosis, as in our case. Careful post-operative evaluation is important to look for maternal and fetal complications.
腹腔妊娠是指一种罕见的异位妊娠形式,妊娠物着床于腹腔内。临床怀疑并结合超声检查对早期诊断很重要。腹腔妊娠中存活胎儿极为罕见。
在此,我们报告一例孕3产2流产2次的母亲发生晚期腹腔妊娠的病例,该患者出现持续1周的腹痛加重,伴有胎动,经成功治疗后产下一名活产新生儿,且无母体并发症。
足月腹腔妊娠分娩出活产新生儿极为罕见。腹腔妊娠的早期诊断对于避免潜在的灾难性母体并发症至关重要,尽管幸运的是我们的患者术后过程顺利。高度怀疑并结合超声有助于做出诊断。建议提高参与产科超声检查的放射科医生和非放射科专业人员的技术水平,以避免误诊,就像我们的病例一样。术后仔细评估对于查找母体和胎儿并发症很重要。