Pradyta Erien, Wulanhandarini Tri, Pascawardhana Manggala
Department of Radiology, Airlangga University, Soetomo General Hospital, Surabaya, Indonesia.
Department of Obstetrics and Gynecology, Airlangga University, Soetomo General Hospital, Surabaya, Indonesia.
Radiol Case Rep. 2024 Dec 19;20(3):1435-1438. doi: 10.1016/j.radcr.2024.11.051. eCollection 2025 Mar.
Abdominal pregnancy (AP) is a rare event of globally reported pregnancy and is significantly challenging to diagnose because of various symptoms. Therefore, we aimed to present a case of a 26-year-old female with unexpected AP of third pregnancy found during emergency fetal evacuation laparotomy. The possible scenario was found to be fetus implanted into the fibroid scar of her obstetric history, leading to complications with uterine rupture. The image was observed properly by the MRI that was performed after the laparotomy. Although the ultrasound was used as the diagnostic tool for the AP, the MRI had an excellent ability to show detailed anatomy as a reliable imaging modality for patients with complicated obstetric history.
腹腔妊娠（AP）是全球报道的一种罕见妊娠情况，因其症状多样，诊断极具挑战性。因此，我们旨在呈现一例26岁女性的病例，该患者在急诊剖宫产术中意外发现第三次妊娠为腹腔妊娠。发现可能的情况是胎儿植入了她既往产科病史中的肌瘤瘢痕处，导致子宫破裂并发症。剖腹产后进行的MRI清晰显示了图像。虽然超声被用作腹腔妊娠的诊断工具，但MRI作为一种可靠的成像方式，对于有复杂产科病史的患者，在显示详细解剖结构方面具有出色的能力。
