METHODS: We present a case of intraperitoneal ectopic pregnancy with fetal survival. Ultrasound and magnetic resonance imaging showed a right cornual pregnancy with a secondary abdominal pregnancy. In September 2021, we performed an emergency laparotomy, along with additional procedures such as transurethral ureteroscopy, double J-stent placement, abdominal fetal removal, placentectomy, repair of the right uterine horn, and pelvic adhesiolysis, in the 29th week of pregnancy. During laparotomy, we diagnosed abdominal pregnancy secondary to a rudimentary uterine horn. The mother and her baby were discharged eight days and 41 days, respectively, after surgery.
CONCLUSIONS: Abdominal pregnancy is a rare condition. The variable nature of ectopic pregnancy can cause delays in timely diagnosis, resulting in increased morbidity and mortality, especially in areas with inadequate medical and social services. A high index of suspicion, coupled with appropriate imaging studies, can help facilitate its diagnosis in any suspected case.
方法:我们介绍一例腹膜内异位妊娠伴胎儿存活的病例。超声和磁共振成像显示右角妊娠伴继发性腹部妊娠。2021年9月,我们进行了紧急剖腹手术,随着额外的程序,如经尿道输尿管镜检查,双J支架置入术,腹部胎儿切除,胎盘切除术,修复右子宫角,盆腔粘连松解术,在怀孕的第29周。在剖腹手术中,我们诊断为腹部妊娠继发于子宫角不足。母亲和她的婴儿出院8天又41天,分别,手术后。
结论:腹部妊娠是一种罕见的疾病。异位妊娠的可变性会导致及时诊断的延误,导致发病率和死亡率增加,特别是在医疗和社会服务不足的地区。高度怀疑,加上适当的成像研究,有助于在任何疑似病例中诊断。