Department of Gynaecology and Obstetrics, The People's Hospital of Wucheng District, Jinhua City, Zhejiang Province, China.
J Int Med Res. 2024 Jul;52(7):3000605241261893. doi: 10.1177/03000605241261893.
Abdominal pregnancies are a rare form of ectopic pregnancy with omentum pregnancies being even rarer. Ectopic pregnancy should be diagnosed and terminated early to prevent the risk of harm to the mother. This case report describes a rare case of omentum pregnancy with severe hemoperitoneum. The patient had not visited a doctor until she failed to menstruate for 3 months, by which point she had developed severe hypogastralgia. The patient was diagnosed with a ruptured ectopic pregnancy after ultrasonography. The omentum pregnancy was complicated by severe hemoperitoneum, which was confirmed by emergency laparotomy. The patient was treated successfully with fetal extraction and partial omentectomy. Ultrasound examination in early pregnancy is essential to detect and treat ectopic pregnancies as early as possible, as surgery is usually required for abdominal pregnancies. Prompt treatment of ectopic pregnancies is critical, as an omentum pregnancy is dangerous and may result in severe intraperitoneal bleeding.
腹腔妊娠是一种罕见的异位妊娠形式，而卵巢妊娠则更为罕见。异位妊娠应尽早诊断和终止，以防止对母亲造成伤害的风险。本病例报告描述了一例罕见的卵巢妊娠伴严重血腹的病例。该患者直到停经 3 个月后才去看医生，此时她已出现严重的下腹痛。患者经超声检查诊断为宫外孕破裂。卵巢妊娠并发严重的血腹，经急诊剖腹手术证实。患者成功地接受了胎儿取出术和部分卵巢切除术治疗。早孕超声检查对于尽早发现和治疗异位妊娠至关重要，因为腹腔妊娠通常需要手术治疗。异位妊娠的及时治疗至关重要，因为卵巢妊娠很危险，可能导致严重的腹腔内出血。
