Lundeberg Kathleen, Blackwell Conner
Obstetrics & Gynecology Residency Program, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
Gynecologic Surgery & Obstetrics, Wright Patterson Air Force Base, Dayton, OH, USA.
Case Rep Womens Health. 2025 Jul 11;47:e00732. doi: 10.1016/j.crwh.2025.e00732. eCollection 2025 Oct.
Abdominal ectopic pregnancies are rare and carry high maternal morbidity and mortality rates. Patients may be asymptomatic, or they may have nonspecific abdominal pain. Due to their rarity and heterogeneity in presentation, management decisions are not straightforward. There are no universally agreed recommendations regarding the role of magnetic resonance imaging (MRI), and although surgical management is the most common choice, there is a paucity of evidence to support the role of medical alternatives or adjuncts. This report concerns the case of an asymptomatic patient with an abdominal pregnancy that was initially misdiagnosed as an intrauterine pregnancy. It highlights the utility of pelvic MRI in surgical planning and features a review of management options. Key images from the patient's ultrasound, MRI, and surgery are included.
腹腔异位妊娠较为罕见，孕产妇发病率和死亡率较高。患者可能无症状，也可能出现非特异性腹痛。由于其罕见性及临床表现的异质性，管理决策并非易事。关于磁共振成像（MRI）的作用，尚无普遍认可的建议，尽管手术治疗是最常见的选择，但支持药物替代疗法或辅助手段作用的证据不足。本报告涉及一名无症状腹腔妊娠患者的病例，该患者最初被误诊为宫内妊娠。报告强调了盆腔MRI在手术规划中的作用，并对管理方案进行了综述。文中还纳入了患者超声、MRI及手术的关键图像。
