Intramural pregnancy at 6 and 8 weeks gestation with no predisposing factors: As two uncommon case reports.

妊娠 6 周和 8 周时的壁内妊娠 ， 没有诱发因素 ： 作为两个罕见的病例报告。

• 发表时间: 2024 Jun
• 来源期刊: Radiol Case Rep
• DOI: 10.1016/j.radcr.2024.02.092
• PMID: 38572273
• 文章类型: Case Reports
• 作者列表: Aouragh A,Boukroute M,Aloua YE,Regragui A,Bellajdel I,Taheri H,Saadi H,Mimouni A

关键词: Ectopic pregnancy; Intramural pregnancy; Laparotomy; Metrorrhagia; Pelvic MRI; Pelvic ultrasound

Abstract

Ectopic pregnancies are extremely rare causing severe consequences such as uterine rupture and may lead to death. The clinical symptomatology is very atypical, essentially pelvic pain and metrorrhagia, for this reason, a misdiagnosis can be fatal. Here we report two cases of an intramural pregnancy in a 33-year-old primigravida at 6 weeks gestation after a medically assisted reproduction and a 26-year-old primigravida at 8 weeks gestation with no predisposing factors, making the diagnosis more challenging.

摘要

异位妊娠极为罕见，会引起严重的后果，例如子宫破裂，并可能导致死亡。临床症状非常不典型，主要是盆腔疼痛和子宫出血，出于这个原因,误诊可能是致命的。在这里，我们报告了两例在医学辅助生殖后妊娠6周时的33岁primigravida和在妊娠8周时没有诱发因素的26岁primigravida的壁内妊娠。使诊断更具挑战性。