An Uncommon Instance of Tubal Pregnancy With a Vital Fetus at the Thirteenth Week of Gestation.

Journal of medical cases Pub Date : 2024-01-01 Epub Date: 2024-01-28 DOI:10.14740/jmc4173
Vlora Ademi Ibishi, Naser Rafuna, Kaltrina Kolgeci
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引用次数: 0

Abstract

Ectopic pregnancy, characterized by the aberrant implantation of blastocysts outside the uterine endometrial lining, typically occurs within the fallopian tube. Clinical presentation of tubal pregnancy ranges from asymptomatic cases to a spectrum of symptoms, including amenorrhea, pelvic pain, vaginal bleeding, and, critically, hemorrhagic shock resulting from tubal rupture. Utilizing serum beta-human chorionic gonadotropin levels and ultrasound examinations is pivotal in confirming the diagnosis. Diagnosing tubal pregnancy during the first trimester is feasible and crucial to prevent rupture, yet reports of fatal cases persist due to delays in diagnosis or misdiagnosis. This paper presents a unique case of an advanced tubal pregnancy at 13 weeks of gestation, featuring a viable fetus. This case underscores the importance of timely and accurate diagnosis to avoid life-threatening complications. It highlights the critical need for heightened medical vigilance and continuous education among healthcare professionals in managing ectopic pregnancies effectively.

一个不常见的输卵管妊娠病例,妊娠 13 周时胎儿仍有活力。
宫外孕的特点是胚泡在子宫内膜外异常着床,通常发生在输卵管内。输卵管妊娠的临床表现从无症状到一系列症状不等,包括闭经、盆腔疼痛、阴道出血,严重的还会因输卵管破裂而导致失血性休克。利用血清中的β-人绒毛膜促性腺激素水平和超声波检查是确诊的关键。在妊娠头三个月诊断输卵管妊娠是可行的,也是防止输卵管破裂的关键,但由于诊断延误或误诊,致死病例的报道仍屡见不鲜。本文介绍了一例独特的晚期输卵管妊娠病例,患者妊娠 13 周,胎儿存活。该病例强调了及时准确诊断以避免危及生命的并发症的重要性。它强调了提高医疗警惕性和持续教育医护人员有效处理宫外孕的迫切需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
1.10
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