Unrecognized abdominal pregnancy with six months' evolution revealed by acute intestinal obstruction in women with PCOS.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Jornal Brasileiro de Reproducao Assistida Pub Date : 2024-06-01 DOI:10.5935/1518-0557.20230057
Sana Ghades, Abderahmen Daadoucha, Hamed Jemel, Nour Rouis, Mohamed Ridha Fatnassi
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Abstract

Abdominal pregnancy is a rare form of ectopic pregnancy where implantation and development of the egg take place in the peritoneal cavity outside the tubo-uterine mucosa, in contact with intestinal loops. Diagnosis is most often difficult. We report the case of a 32-year-old woman (gravida 1, para 1), with a history of PCOS, diagnosed with abdominal pregnancy at 20 weeks of amenorrhea complicated by acute intestinal obstruction. Diagnosis was confirmed by abdomino-pelvic scan. Surgery was performed with the patient under general anesthesia. She presented a macerated fetus with an infiltration of the placenta causing a perforation of the sigmoid colon and uterus. Hartmann's procedure was performed and the perforation of the uterus was sutured. Abdominal pregnancy remains a rare variety of ectopic pregnancy. Preoperative diagnosis is difficult due to the presence of a variety of non-specific symptoms. This type of ectopic pregnancy remains challenging for gynecologists and radiologists.

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患有多囊卵巢综合症的妇女因急性肠梗阻而导致腹部妊娠,但未被发现并持续了六个月。
腹腔妊娠是一种罕见的异位妊娠,卵子在输卵管子宫黏膜外的腹腔内着床和发育,并与肠环相接触。诊断通常比较困难。我们报告了一例 32 岁女性(孕酮 1,第 1 位)的病例,她有多囊卵巢综合症病史,在停经 20 周时被诊断为腹腔妊娠,并发急性肠梗阻。腹盆腔扫描证实了诊断结果。手术在全身麻醉下进行。她腹中的胎儿浸渍在胎盘中,导致乙状结肠和子宫穿孔。对她进行了哈特曼手术,并缝合了子宫穿孔。腹腔妊娠仍然是一种罕见的异位妊娠。由于存在各种非特异性症状,术前诊断非常困难。对于妇科医生和放射科医生来说,这种类型的宫外孕仍然具有挑战性。
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CiteScore
3.30
自引率
6.70%
发文量
56
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