Advanced Abdominal Ectopic Pregnancy with Subsequent Fetal and Placental Extraction: A Case Report

Biomedicine Hub Pub Date : 2022-02-25 DOI:10.1159/000521733
L. Zuñiga, C. Alas-Pineda, Clarisa L. Reyes-Guardado, German Isaías Melgar, Kristhel Gaitán-Zambrano, Simmons Gough
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引用次数: 3

Abstract

Abdominal ectopic pregnancy (AEP) occurs within the peritoneal cavity, outside the genital organs (uterus, tubes, ovaries). It is an unusual condition with an incidence that varies from 1:10,000 to 1:30,000 of all pregnancies worldwide. A 38-year-old primigravid patient was diagnosed in the second trimester with AEP. Pregnancy reached 35.6 gestational weeks, and the patient underwent surgery via laparotomy for extraction of the live fetus. Complete removal of the placenta was performed without maternal or fetal complications. AEP is an important cause of maternal and fetal death; the mortality rate in pregnant women with AEP is approximately 1–18%. Surgical intervention to deliver a baby in cases of AEP requires a multidisciplinary team, especially in countries with limited therapeutic options.
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晚期腹部异位妊娠并发胎儿和胎盘摘取:1例报告
腹部异位妊娠(AEP)发生在腹膜腔内,生殖器官(子宫、输卵管、卵巢)外。这是一种不寻常的情况,其发生率在全世界所有怀孕中从1:10 000到1:30 000不等。一名38岁的原孕患者在妊娠中期被诊断为AEP。妊娠达到35.6孕周,患者通过剖腹手术取出活胎。完全切除胎盘,无母体或胎儿并发症。急性心绞痛是孕产妇和胎儿死亡的重要原因;AEP孕妇的死亡率约为1-18%。在AEP病例中,手术干预分娩需要一个多学科的团队,特别是在治疗选择有限的国家。
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