Bergstrom R, Mueller G, Yankowitz J
Department of Obstetrics and Gynecology, University of Iowa School of Medicine, Iowa City, Iowa, USA.
Gynecol Obstet Invest. 1998;46(4):268-70. doi: 10.1159/000010048.
Abdominal pregnancy is potentially highly morbid and often complicated by postoperative fever.
A 29-year-old gravida 2 para 0 presented with a 17-week size-demised abdominal pregnancy. We describe the continued difficulty in determining the timing and type of intervention. In addition, we found that the gestational sac was colonized by group B streptococcus at the time of surgery.
This case illustrates that preoperative colonization of the intra-abdominal gestational sac may contribute to postoperative febrile morbidity. We suggest treating patients with prophylactic antibiotics and avoiding spill of gestational sac contents into the peritoneal cavity. Placement of a sterile Foley bulb into the uterine cavity can confirm the extrauterine position of the pregnancy prior to undertaking surgery.
腹腔妊娠潜在风险极高，且常伴有术后发热。
一名29岁、孕2产0的女性，诊断为17周大小的腹腔死胎妊娠。我们描述了在确定干预时机和类型方面持续存在的困难。此外，我们发现手术时妊娠囊被B族链球菌定植。
该病例表明，腹腔内妊娠囊术前被定植可能导致术后发热性并发症。我们建议对患者使用预防性抗生素治疗，并避免妊娠囊内容物溢入腹腔。在手术前将无菌Foley球囊置入宫腔可确认妊娠的宫外位置。
