MedElevator
Войти в исследования Medicine · 2026
Laparoscopic management of early primary abdominal pregnancy: A case report and literature review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gao Jing, Li Ruyue, Zhang Yue
Аннотация
RATIONALE: Primary abdominal pregnancy, though a variant of extrauterine gestation, is exceedingly rare in clinical practice and is associated with a disproportionately high maternal mortality rate, necessitating vigilant diagnostic approaches and prompt therapeutic interventions.
PATIENT CONCERNS: A 35-year-old woman was diagnosed with a complete spontaneous abortion, as imaging revealed no paraovarian or parauterine abnormalities. She subsequently presented to our hospital's gynecologic emergency department with a 3-day history of continuous, dull abdominal pain accompanied by nausea.
DIAGNOSES: A primary abdominal pregnancy is suspected.
INTERVENTIONS: Laparoscopic exploration was successfully performed in our hospital to remove the products of conception.
OUTCOMES: Histologic examination confirmed the diagnosis of an abdominal pregnancy. No postoperative complications occurred, and the patient was discharged the next few days.
LESSONS: For primary abdominal pregnancies with a stable hemodynamic state at an early stage (<12 weeks), laparoscopy is a safe and viable therapeutic option. If an abdominal pregnancy is strongly suspected, a meticulous ultrasound examination is essential to avoid misdiagnosis or missed diagnosis. Drug therapy is employed in the management of complex operations, high-risk procedures, and postoperative adjunct treatments.
PATIENT CONCERNS: A 35-year-old woman was diagnosed with a complete spontaneous abortion, as imaging revealed no paraovarian or parauterine abnormalities. She subsequently presented to our hospital's gynecologic emergency department with a 3-day history of continuous, dull abdominal pain accompanied by nausea.
DIAGNOSES: A primary abdominal pregnancy is suspected.
INTERVENTIONS: Laparoscopic exploration was successfully performed in our hospital to remove the products of conception.
OUTCOMES: Histologic examination confirmed the diagnosis of an abdominal pregnancy. No postoperative complications occurred, and the patient was discharged the next few days.
LESSONS: For primary abdominal pregnancies with a stable hemodynamic state at an early stage (<12 weeks), laparoscopy is a safe and viable therapeutic option. If an abdominal pregnancy is strongly suspected, a meticulous ultrasound examination is essential to avoid misdiagnosis or missed diagnosis. Drug therapy is employed in the management of complex operations, high-risk procedures, and postoperative adjunct treatments.