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| Clinical analysis of 11 patients with primary abdominal pregnancy |
| Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Health Care Hospital, Beijing, 100026 |
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Abstract To analyze and summarize the diagnosis and the clinical characteristics of patients with primary abdominal pregnancy, and to reduce the rates of misdiagnosis and missed diagnosis of primary abdominal pregnancy. Methods: The clinical data, such as clinical symptoms, auxiliary examination results, diagnosis, treatment, postoperative pathological results, and prognosis, of 11 patients who had been diagnosed as primary abdominal pregnancy from February 2009 to May 2021 were collected. And the clinical characteristics of these patients were analyzed. Results: 11 patients had no gestational sac in the intrauterine cavity and had heterogeneous mass beside their uterus by preoperative ultrasound examination. Both the location of pregnancy and the abdominal pregnancy of the patients had not been identified. During the operation, there were 5 patients with the pregnancy located in their Douglas pouch, 2 patients with the pregnancy located in their uterosacral ligament, 2 patients with the pregnancy located in their peritoneum of the lateral pelvic wall, 1 patients with the pregnancy located on their rectum surface, and 1 patients with the pregnancy located on their uterus surface. The level of serum β-chorionic gonadotropin (β-HCG) of 11 patients had decreased satisfactorily after operation, and their prognosis were fine. Conclusion: The primary abdominal pregnancy has low incidence, and the clinical manifestations of which are not typical. There are more sites where gestational sacs of the patients can plant, so the primary abdominal pregnancy is easy to miss diagnosis and misdiagnosis. Individualized treatment should be done during operation.
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